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General NPI Number Information
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NPI Number | 1104891621
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Entity Type | Organization
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Legal Business Name | PLAYJOURNEYS, INC.
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Dates
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Enumeration Date | 02/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5501 E 71ST ST STE. 7A
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3967
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Country | US
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Telephone | 317-254-5640
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Fax | 317-254-5641
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Provider Business Mailing Address
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Address Line | 5501 E 71ST ST STE. 7A
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3967
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Country | US
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Telephone | 317-254-5640
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Fax | 317-254-5641
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Authorized Official
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Title or Position | OWNER AND PRESIDENT
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Name | MS. PATRICIA M. SCANLON
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Credential | MSW
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Telephone | 317-254-5640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34003955A
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License Number State | IN
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