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General NPI Number Information
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NPI Number | 1508186768
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Entity Type | Organization
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Legal Business Name | BETHANY CHRISTIAN SERVICES
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 7172 GRAHAM RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2649
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Country | US
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Telephone | 317-578-5000
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Fax | 317-596-1715
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Provider Business Mailing Address
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Address Line | 7172 GRAHAM RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2649
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Country | US
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Telephone | 317-578-5000
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Fax | 317-596-1715
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Authorized Official
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Title or Position | BRANCH DIRECTOR
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Name | MS. LINDA WRESTLER
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Credential | LCSW
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Telephone | 317-578-5000
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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 |
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License Number State |
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