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General NPI Number Information
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NPI Number | 1063811339
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Entity Type | Organization
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Legal Business Name | HEALTHSCRIPTS OF AMERICA-INDIANAPOLIS, LLC
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 8840 MICHIGAN RD STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1440
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Country | US
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Telephone | 317-522-5489
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Fax | 317-522-5489
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Provider Business Mailing Address
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Address Line | 6565 WEST LOOP S STE 110
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City | BELLAIRE
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State | TX
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Zip | 77401-3505
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Country | US
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Telephone | 832-770-8183
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Fax | 832-770-8164
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Authorized Official
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Title or Position | CEO
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Name | PAUL E HENRIKSEN
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Credential |
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Telephone | 832-770-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60006394A
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License Number State | IN
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