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General NPI Number Information
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NPI Number | 1134954647
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Entity Type | Organization
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Legal Business Name | IES HSP INDIANA LLC
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1125 W JEFFERSON ST
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City | FRANKLIN
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State | IN
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Zip | 46131-2140
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Country | US
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Telephone | 317-736-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3205
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-3205
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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 | AO/OWNER
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Name | NESTOR ZENAROSA
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Credential | MD
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Telephone | 469-420-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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