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General NPI Number Information
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NPI Number | 1225913403
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Entity Type | Organization
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Legal Business Name | ANNE FORD MD
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 17300 WESTFIELD BLVD STE 330
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City | WESTFIELD
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State | IN
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Zip | 46074-1363
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Country | US
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Telephone | 317-463-5787
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Fax | 317-463-5812
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Provider Business Mailing Address
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Address Line | 17300 WESTFIELD BLVD STE 330
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City | WESTFIELD
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State | IN
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Zip | 46074-1363
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Country | US
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Telephone | 317-463-5787
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Fax | 317-463-5812
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ANNE FORD
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Credential | MD
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Telephone | 317-463-5787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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