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General NPI Number Information
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NPI Number | 1194967539
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Entity Type | Organization
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Legal Business Name | AXIS HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 3500 DEPAUW BLVD. SUITE 1074
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1136
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Country | US
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Telephone | 317-872-3300
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Fax | 317-872-3303
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Provider Business Mailing Address
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Address Line | 3500 DEPAUW BLVD. SUITE 1074
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1136
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Country | US
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Telephone | 317-872-3300
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Fax | 317-872-3303
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MR. JOHN S KELLY
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Credential |
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Telephone | 317-340-6839
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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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