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General NPI Number Information
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NPI Number | 1528107851
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Entity Type | Organization
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Legal Business Name | RIPPLE MEDICAL LLC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 3266 N MERIDIAN ST SUITE 801
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-5846
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Country | US
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Telephone | 317-927-2068
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Fax | 317-927-2891
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Provider Business Mailing Address
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Address Line | 3266 N MERIDIAN ST SUITE 801
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-5846
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Country | US
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Telephone | 317-927-2068
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Fax | 317-927-2891
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT C CATER
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Credential | M.D.
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Telephone | 317-927-2068
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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 | 04042411
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License Number State | IN
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