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General NPI Number Information
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NPI Number | 1194077503
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Entity Type | Organization
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Legal Business Name | HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 1001 W 10TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2859
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Country | US
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Telephone | 317-630-6657
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 W 10TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2859
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Country | US
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Telephone | 317-630-6657
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. NANCY A BUXSER
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Credential |
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Telephone | 317-630-6657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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