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General NPI Number Information
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NPI Number | 1164566360
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Entity Type | Organization
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Legal Business Name | AMERICAN THERAPY GROUP, INC.
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9210 BACKWATER DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4133
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Country | US
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Telephone | 317-578-0814
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Fax | 317-578-0856
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Provider Business Mailing Address
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Address Line | 9210 BACKWATER DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4133
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Country | US
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Telephone | 317-578-0814
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Fax | 317-578-0856
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS CAROL J KRISE
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Credential | M.A., CCC-SLP
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Telephone | 317-578-0814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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