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General NPI Number Information
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NPI Number | 1407679582
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Entity Type | Organization
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Legal Business Name | VALIANT PRIMARY CARE
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 262 S FORD RD STE 300
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City | ZIONSVILLE
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State | IN
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Zip | 46077-2045
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Country | US
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Telephone | 812-371-9585
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Fax | 812-328-8041
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Provider Business Mailing Address
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Address Line | 262 S FORD RD STE 300
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City | ZIONSVILLE
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State | IN
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Zip | 46077-2045
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Country | US
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Telephone | 812-371-9585
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Fax | 812-328-8041
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RACHEL TRUPE
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Credential | MD
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Telephone | 317-204-3695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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