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General NPI Number Information
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NPI Number | 1174884472
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Entity Type | Organization
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Legal Business Name | SHELBY COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 06/04/2012
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Provider Practice Location Address
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Address Line | 1600 E STATE ROAD 44 SUITE B
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City | SHELBYVILLE
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State | IN
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Zip | 46176-4027
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Country | US
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Telephone | 317-392-6470
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Fax | 317-392-6472
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Provider Business Mailing Address
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Address Line | 1600 E STATE ROAD 44 SUITE B
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City | SHELBYVILLE
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State | IN
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Zip | 46176-4027
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Country | US
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Telephone | 317-392-6470
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Fax | 317-392-6472
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. CHRIS L LOMAN
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Credential | MD
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Telephone | 317-398-3746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number | 01035445
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License Number State | IN
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