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General NPI Number Information
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NPI Number | 1104975325
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICE OF CENTRAL INDIANA, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 327 N LEBANON ST SUITE 103
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City | LEBANON
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State | IN
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Zip | 46052-2168
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Country | US
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Telephone | 765-482-6396
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Fax | 765-482-0694
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Provider Business Mailing Address
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Address Line | 615 NORTH ALABAMA STREET SUITE 320
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1481
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Country | US
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Telephone | 317-634-6341
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Fax | 317-464-9575
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. EDIE OLSON
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Credential |
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Telephone | 317-634-6341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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