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General NPI Number Information
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NPI Number | 1407194426
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Entity Type | Organization
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Legal Business Name | COMMUNITY PHYSICIANS OF INDIANA INC
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 18051 RIVER AVENUE SUITE 100
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7093
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Country | US
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Telephone | 317-621-6980
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Fax | 317-621-3090
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Provider Business Mailing Address
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Address Line | 18051 RIVER AVENUE SUITE 100
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7093
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Country | US
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Telephone | 317-621-6980
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Fax | 317-621-3090
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Authorized Official
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Title or Position | CMO
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Name | PATRICK E RANKIN
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Credential | MD
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Telephone | 317-621-1659
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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 |
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License Number State |
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