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General NPI Number Information
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NPI Number | 1407554405
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Entity Type | Organization
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Legal Business Name | RAINBOW CONNECTIONS, LLC
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 4954 E 56TH ST STE 8
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-5769
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Country | US
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Telephone | 317-210-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 1284 N EDMONDSON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-3516
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Country | US
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Telephone | 317-679-0549
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Fax |
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Authorized Official
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Title or Position | OWNER AND THERAPIST
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Name | LESLIE WEAVER
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Credential | MSW, LCSW, LCAC
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Telephone | 317-679-0549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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