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General NPI Number Information
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NPI Number | 1164866844
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Entity Type | Organization
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Legal Business Name | ORGANIC HEALTH SERVICES
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 12188A N MERIDIAN ST SUITE 225
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City | CARMEL
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State | IN
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Zip | 46032-4406
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Country | US
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Telephone | 317-846-8777
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Fax | 317-846-8834
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Provider Business Mailing Address
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Address Line | 12188 N. MERIDIAN A SUITE 225
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-846-8777
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Fax | 317-846-8834
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DAVID YOURAN
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Credential | L.AC.
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Telephone | 317-846-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 84000066A
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License Number State | IN
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