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General NPI Number Information
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NPI Number | 1477837037
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Entity Type | Organization
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Legal Business Name | INDIANA VEIN SPECIALISTS, LLC
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 11590 N MERIDIAN ST STE 270
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City | CARMEL
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State | IN
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Zip | 46032-6954
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Country | US
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Telephone | 317-348-3020
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Fax | 317-863-1237
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Provider Business Mailing Address
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Address Line | 11590 N MERIDIAN ST STE 270
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City | CARMEL
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State | IN
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Zip | 46032-6954
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Country | US
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Telephone | 317-348-3020
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Fax | 317-863-1237
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. JEFFERY P SCHOONOVER
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Credential | MD
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Telephone | 317-348-3023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 01060951A
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License Number State | IN
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