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General NPI Number Information
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NPI Number | 1376798116
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Entity Type | Organization
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Legal Business Name | INDIANA HEART ASSOCIATES PC
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 1159 W JEFFERSON ST SUITE 304/302
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City | FRANKLIN
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State | IN
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Zip | 46131-2794
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Country | US
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Telephone | 317-736-7651
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Fax | 317-736-7337
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Provider Business Mailing Address
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Address Line | 920 N SHADELAND AVE SUITE G1
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4898
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Country | US
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Telephone | 317-355-9783
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Fax | 317-355-9760
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMARAO YELETI
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Credential | MD
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Telephone | 317-355-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 50003647A
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License Number State | IN
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