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General NPI Number Information
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NPI Number | 1205021359
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Entity Type | Organization
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Legal Business Name | HEALTH CAREERS INTERNATIONAL LLC.
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 2425 N MERIDIAN ST SUITE 112 114
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City | INDIANAPOLIS
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State | IN
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Zip | 46208
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Country | US
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Telephone | 317-924-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 RED PHISTER DR
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City | AVON
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State | IN
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Zip | 46123-7172
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Country | US
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Telephone | 317-272-1383
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Fax | 317-924-0414
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, CEO.
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Name | MR. ADONIAH MAVURA MUKONA
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Credential | PT., MBA
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Telephone | 317-924-0414
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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 | 05004874A
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License Number State | IN
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