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General NPI Number Information
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NPI Number | 1457517476
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Entity Type | Organization
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Legal Business Name | ARGOMED INC
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 7440 N SHADELAND AVE SUITE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2029
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Country | US
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Telephone | 317-429-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 14059 SOUTHWOOD CIR
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City | FISHERS
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State | IN
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Zip | 46037-3947
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Country | US
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Telephone | 317-863-0373
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Fax | 317-489-3437
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ENRIQUE A ARGOTE-RUIZ
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Credential | MD
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Telephone | 317-385-3163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 01064215
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License Number State | IN
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