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General NPI Number Information
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NPI Number | 1093905325
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Entity Type | Organization
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Legal Business Name | INDIANAPOLIS NEUROSURGICAL GROUP
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 1801 N SENATE AVE SUITE 535
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-396-1300
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Fax | 137-396-1346
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Provider Business Mailing Address
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Address Line | 8333 NAAB RD SUITE 255
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5924
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Country | US
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Telephone | 317-396-1300
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Fax | 317-396-1346
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MRS. JILL ELEFTHERI
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Credential | PA
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Telephone | 317-396-1386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 10000658A
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License Number State | IN
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