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General NPI Number Information
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NPI Number | 1417303850
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Entity Type | Organization
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Legal Business Name | A GOOD THING
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 11215 FOUNDERS PL
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City | FISHERS
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State | IN
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Zip | 46038-2962
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Country | US
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Telephone | 317-753-3418
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Fax | 317-576-1145
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Provider Business Mailing Address
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Address Line | 11215 FOUNDERS PL
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City | FISHERS
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State | IN
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Zip | 46038-2962
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Country | US
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Telephone | 317-753-3418
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Fax | 317-576-1145
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STEPHEN SICINSKI
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Credential |
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Telephone | 317-753-3418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150135631
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License Number State | IN
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