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General NPI Number Information
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NPI Number | 1295938116
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Entity Type | Organization
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Legal Business Name | COUNSELING OF INDIANA INC.
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 3607 W 16TH ST SUITE2B
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-2558
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Country | US
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Telephone | 317-955-2641
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Fax | 317-955-2687
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Provider Business Mailing Address
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Address Line | 3607 W 16TH ST SUITE 2B
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-2558
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Country | US
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Telephone | 317-955-2641
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Fax | 317-955-2687
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Authorized Official
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Title or Position | OPERATION
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Name | DENNIS MICKLE
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Credential |
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Telephone | 317-955-2641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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