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General NPI Number Information
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NPI Number | 1326209313
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVESITY
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 541 CLINICAL DR CLINICAL BUILDING459
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5233
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Country | US
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Telephone | 317-274-1339
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Fax | 317-278-0658
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Provider Business Mailing Address
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Address Line | 541 CLINICAL DR CLINICAL BUILDING459
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5233
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Country | US
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Telephone | 317-274-1339
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Fax | 317-278-0658
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Authorized Official
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Title or Position | FELLOW
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Name | CAROLINA BRUNO
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Credential | MD
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Telephone | 317-274-1339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 11012325A
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License Number State | IN
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