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General NPI Number Information
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NPI Number | 1184748485
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Entity Type | Organization
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Legal Business Name | BOONE COUNTY AUDITOR
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 116 W WASHINGTON ST STE B202
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City | LEBANON
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State | IN
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Zip | 46052-2174
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Country | US
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Telephone | 765-482-3942
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Fax | 765-483-4450
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Provider Business Mailing Address
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Address Line | 116 W WASHINGTON ST STE B202
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City | LEBANON
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State | IN
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Zip | 46052-2174
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Country | US
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Telephone | 765-482-3942
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Fax | 765-483-4450
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. HERSCHELL SERVIES JR.
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Credential | M.D.
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Telephone | 765-482-3942
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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 | 0102636A
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License Number State | IN
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