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General NPI Number Information
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NPI Number | 1316966229
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Entity Type | Organization
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Legal Business Name | UNIVERSITY SURGEONS, INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 1701 N SENATE BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1239
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Country | US
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Telephone | 317-944-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone | 888-484-3258
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JUDITH L COLEMAN
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Credential |
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Telephone | 317-948-3525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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