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General NPI Number Information
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NPI Number | 1376487223
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Entity Type | Organization
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Legal Business Name | DEFECTPOINT MEDICAL LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 5811 FIRE OPAL WAY
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-1899
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Country | US
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Telephone | 601-907-3796
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Fax |
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Provider Business Mailing Address
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Address Line | 5811 FIRE OPAL WAY
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-1899
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Country | US
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Telephone | 601-907-3796
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MR. UNKNOWN NAZEER AHMED SHARJEE
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Credential | MD
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Telephone | 601-907-3796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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