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General NPI Number Information
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NPI Number | 1306690367
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Entity Type | Organization
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Legal Business Name | LIFTING IN LOVE AND COMPASSION
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 6929 E 10TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4803
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Country | US
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Telephone | 463-279-7273
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Fax |
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Provider Business Mailing Address
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Address Line | 8355 CHESTERHILL LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-7950
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Country | US
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Telephone | 317-517-3977
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEANNA WARREN
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Credential |
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Telephone | 463-279-7273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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