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General NPI Number Information
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NPI Number | 1306935556
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Entity Type | Organization
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Legal Business Name | MIDWEST EAR INSTITUTE, P.C.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7440 N SHADELAND AVE STE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2095
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Country | US
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Telephone | 317-842-4901
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Fax | 317-842-4393
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Provider Business Mailing Address
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Address Line | 7440 N SHADELAND AVE STE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2095
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Country | US
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Telephone | 317-842-4901
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Fax | 317-842-4393
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JAN D BABCOCK
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Credential |
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Telephone | 317-570-7353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | N/A
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License Number State | IN
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