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General NPI Number Information
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NPI Number | 1437582384
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Entity Type | Organization
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Legal Business Name | PIERCE MOBILE MEDICINE, PC
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 09/15/2013
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Provider Practice Location Address
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Address Line | 1300 E 86TH ST SUITE 14 126
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1997
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Country | US
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Telephone | 317-288-9385
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Fax | 317-288-9386
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Provider Business Mailing Address
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Address Line | 1300 E 86TH ST SUITE 14 126
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1997
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Country | US
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Telephone | 317-288-9385
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Fax | 317-288-9386
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DUAN L PIERCE
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Credential | M.D.
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Telephone | 317-288-9385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 01064273A
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License Number State | IN
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