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General NPI Number Information
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NPI Number | 1134903222
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Entity Type | Organization
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Legal Business Name | INDIANA JOINT REPLACEMENT INSTITUTE
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 3530 KRAFT RD STE 201
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City | NAPLES
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State | FL
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Zip | 34105-5020
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Country | US
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Telephone | 239-445-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 3834 S EMERSON AVE STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-5902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT MENEGHINI
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Credential |
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Telephone | 317-620-0232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 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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