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General NPI Number Information
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NPI Number | 1356325187
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Entity Type | Individual
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Provider Name | ROBERT M MENEGHINI MD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 200 W 103RD ST STE 1400
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1018
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Country | US
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Telephone | 317-688-5980
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Fax | 317-566-2736
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Provider Business Mailing Address
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Address Line | 950 N MERIDIAN ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3908
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Country | US
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Telephone | 317-962-4944
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Fax | 317-962-4950
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01059735A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 01059735
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 046288
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License Number State | CT
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