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General NPI Number Information
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NPI Number | 1275255481
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Entity Type | Organization
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Legal Business Name | URBAN FAMILY INITIATIVE LLC
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 5525 GEORGETOWN ROAD SUITE D
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-3717
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Country | US
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Telephone | 317-373-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 3510 WATERSTONE COURT
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-4845
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Country | US
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Telephone | 317-373-3730
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. JAMES W. DIX III
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Credential | PH.D.
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Telephone | 317-373-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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