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General NPI Number Information
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NPI Number | 1336257542
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Entity Type | Organization
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Legal Business Name | INDIANAPOLIS OPHTHALMOLOGY PC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1320 CITY CENTER DR STE 150
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City | CARMEL
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State | IN
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Zip | 46032-3104
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Country | US
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Telephone | 317-846-4223
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Fax | 317-846-6063
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Provider Business Mailing Address
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Address Line | 1320 CITY CENTER DR STE 150
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City | CARMEL
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State | IN
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Zip | 46032-3104
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Country | US
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Telephone | 317-846-4223
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Fax | 317-846-6063
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. KATHLEEN A DILTS
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Credential |
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Telephone | 317-819-0742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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