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General NPI Number Information
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NPI Number | 1275629313
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Entity Type | Organization
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Legal Business Name | IU ANESTHESIOLOGY ASSOCIATES-CHRONIC PAIN, LLC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1701 N SENATE BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1239
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Country | US
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Telephone | 317-274-0256
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone | 888-484-3258
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Fax |
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Authorized Official
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Title or Position | ANESTHESIA CHAIR
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Name | DAVID C ADAMS
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Credential | MD
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Telephone | 718-920-4316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State | IN
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