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General NPI Number Information
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NPI Number | 1417603879
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Entity Type | Organization
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Legal Business Name | PREMISE HEALTH OF INDIANA MEDICAL, P.C.
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 1900 MCKINLEY AVE # 50060
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City | COLUMBUS
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State | IN
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Zip | 47201-6414
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Country | US
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Telephone | 812-377-4782
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Fax | 812-721-0283
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Provider Business Mailing Address
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Address Line | 5500 MARYLAND WAY STE 120
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City | BRENTWOOD
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State | TN
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Zip | 37027-4993
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JON LEIZMAN
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Credential |
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Telephone | 216-479-9063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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