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General NPI Number Information
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NPI Number | 1215987185
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Entity Type | Individual
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Provider Name | ROBERT ALAN ORTMANN MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | LILLY CORPORATE CTR DC 1940
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City | INDIANAPOLIS
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State | IN
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Zip | 46285-0001
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Country | US
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Telephone | 317-433-2779
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Fax |
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Provider Business Mailing Address
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Address Line | LILLY CORPORATE CTR DC 1940
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City | INDIANAPOLIS
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State | IN
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Zip | 46285-0001
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Country | US
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Telephone | 317-433-2779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 2001005641
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | E-5590
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 01072827A
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License Number State | IN
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