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General NPI Number Information
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NPI Number | 1154460624
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Entity Type | Organization
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Legal Business Name | CHILDREN'S BUREAU, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 2115 CENTRAL AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1636
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Country | US
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Telephone | 317-986-7730
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Fax | 317-986-7807
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Provider Business Mailing Address
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Address Line | 1575 DR MARTIN LUTHER KING JR ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2295
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Country | US
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Telephone | 317-264-7000
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Fax | 317-464-9575
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | TINA CLOER
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Credential |
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Telephone | 317-264-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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