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General NPI Number Information
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NPI Number | 1316677941
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Entity Type | Organization
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Legal Business Name | UPPERLINE HEALTHCARE PC
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 7830 E 96TH ST
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City | FISHERS
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State | IN
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Zip | 46037-9629
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Country | US
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Telephone | 888-499-5249
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 CHARLOTTE AVE STE F185
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City | NASHVILLE
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State | TN
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Zip | 37209-4066
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Country | US
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Telephone | 407-219-5402
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL KING
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Credential |
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Telephone | 401-787-0999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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