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General NPI Number Information
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NPI Number | 1285814251
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Entity Type | Organization
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Legal Business Name | HANKINS-CONRAD MEDICAL, INC.
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 10821 TURNE GRV
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City | FISHERS
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State | IN
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Zip | 46037-9006
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Country | US
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Telephone | 317-845-0343
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Fax | 317-845-0373
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Provider Business Mailing Address
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Address Line | 10821 TURNE GRV
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City | FISHERS
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State | IN
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Zip | 46037-9006
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Country | US
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Telephone | 317-845-0343
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Fax | 317-845-0373
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JODY M CONRAD
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Credential | ABC-COF
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Telephone | 317-845-0343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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