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General NPI Number Information
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NPI Number | 1487773768
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Entity Type | Organization
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Legal Business Name | HUMAN SERVICE ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7926 SARGENT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1835
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Country | US
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Telephone | 317-849-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 7926 SARGENT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-1835
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Country | US
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Telephone | 317-849-6090
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CINDA MARIE OVERMAN
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Credential | MS
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Telephone | 317-849-6090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34002803A
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License Number State | IN
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