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General NPI Number Information
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NPI Number | 1083675656
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Entity Type | Organization
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Legal Business Name | JOINT REPLACEMENT SURGEONS OF INDIANA
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 1199 HADLEY RD
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City | MOORESVILLE
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State | IN
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Zip | 46158-1788
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Country | US
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Telephone | 317-831-2273
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Fax | 317-831-9347
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Provider Business Mailing Address
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Address Line | 1199 HADLEY RD
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City | MOORESVILLE
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State | IN
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Zip | 46158-1788
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Country | US
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Telephone | 317-831-2273
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Fax | 317-831-9347
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JOHN MEDING
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Credential | MD
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Telephone | 317-831-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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