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General NPI Number Information
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NPI Number | 1164463949
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Entity Type | Individual
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Provider Name | CARLOS VIEIRA MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 2158 INTELLIPLEX DR STE 100
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City | SHELBYVILLE
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State | IN
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Zip | 46176-8548
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Country | US
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Telephone | 317-421-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 14134 BAY WILLOW DR
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City | FISHERS
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State | IN
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Zip | 46037-0029
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01053351
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License Number State | IN
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