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General NPI Number Information
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NPI Number | 1215705926
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Entity Type | Organization
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Legal Business Name | MONARCH RESTORATIVE MEDICINE
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 90 EXECUTIVE DR STE A
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City | CARMEL
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State | IN
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Zip | 46032-2612
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Country | US
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Telephone | 317-804-4203
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Fax | 317-564-0627
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Provider Business Mailing Address
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Address Line | 90 EXECUTIVE DR STE A
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City | CARMEL
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State | IN
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Zip | 46032-2612
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Country | US
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Telephone | 317-804-4203
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Fax | 317-564-0627
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Authorized Official
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Title or Position | OWNER
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Name | LISA CLAY
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Credential | MD
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Telephone | 309-265-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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