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General NPI Number Information
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NPI Number | 1427894708
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Entity Type | Individual
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Provider Name | TERRI KING
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Gender | Female
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Dates
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Enumeration Date | 07/05/2024
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 450 E 96TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-3760
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Country | US
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Telephone | 317-762-0041
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Fax | 317-493-0939
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Provider Business Mailing Address
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Address Line | 450 E 96TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-3760
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Country | US
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Telephone | 317-762-0041
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Fax | 317-493-0939
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 015022
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License Number State | IN
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