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General NPI Number Information
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NPI Number | 1518748391
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Entity Type | Organization
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Legal Business Name | ADDICTION REHAB CENTERS AT INDIANAPOLIS
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 7322 NOEL RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-1515
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Country | US
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Telephone | 844-551-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 486 MATTHEWS LN
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City | JACKSON
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State | NJ
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Zip | 08527-4401
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Country | US
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Telephone | 718-288-1160
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Fax |
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Authorized Official
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Title or Position | OPERATOR
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Name | SHEA FRIEDMAN
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Credential |
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Telephone | 718-288-1160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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