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General NPI Number Information
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NPI Number | 1144708413
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Entity Type | Organization
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Legal Business Name | INJECT HEALTH, LLC
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 1833 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-2735
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Country | US
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Telephone | 765-838-2310
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Fax | 317-559-5971
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Provider Business Mailing Address
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Address Line | 1221 S CREASY LN STE K3
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City | LAFAYETTE
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State | IN
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Zip | 47905-7430
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Country | US
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Telephone | 317-965-6515
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Fax | 317-559-5971
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SUSAN ROBERTSON
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Credential |
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Telephone | 317-965-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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