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General NPI Number Information
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NPI Number | 1487851945
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Entity Type | Organization
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Legal Business Name | INTERNISTS, INC.
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 1200 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1905
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Country | US
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Telephone | 765-966-7724
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Fax | 765-966-7725
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Provider Business Mailing Address
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Address Line | 1200 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1905
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Country | US
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Telephone | 765-966-7724
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Fax | 765-966-7725
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. LIBBY STEELE
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Credential |
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Telephone | 765-966-7724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 50000554A
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License Number State | IN
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