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General NPI Number Information
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NPI Number | 1275608713
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Entity Type | Organization
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Legal Business Name | CICOA AGING & IN HOME SOLUTIONS INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 8440 WOODFIELD CROSSING BLVD STE 175
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-4359
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Country | US
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Telephone | 317-254-5465
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Fax | 317-254-5494
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Provider Business Mailing Address
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Address Line | 8440 WOODFIELD CROSSING BLVD STE 175
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-4359
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Country | US
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Telephone | 317-254-5465
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Fax | 317-254-5494
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | LISA SCHNEEKLOTH
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Credential |
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Telephone | 317-803-6033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #9
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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 #10
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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