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General NPI Number Information
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NPI Number | 1326192105
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Entity Type | Individual
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Provider Name | MICHELLE S NEIGHBORS CST, CFA
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | 4199 GATEWAY BLVD SUITE 2600
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City | NEWBURGH
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State | IN
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Zip | 47630-8940
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Country | US
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Telephone | 812-842-4868
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Fax | 812-858-4605
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Provider Business Mailing Address
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Address Line | 4199 GATEWAY BLVD STE 2600
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City | NEWBURGH
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State | IN
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Zip | 47630-8970
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Country | US
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Telephone | 812-842-4868
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Fax | 812-858-4605
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 94848
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License Number State |
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