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General NPI Number Information
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NPI Number | 1528248424
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Entity Type | Organization
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Legal Business Name | INDIANA HOME HEALTH, INC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 201 N ILLINOIS ST SUITE 1600
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1904
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Country | US
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Telephone | 317-601-3255
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Fax | 317-713-1141
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Provider Business Mailing Address
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Address Line | 201 N ILLINOIS ST SUITE 1600
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1904
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Country | US
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Telephone | 317-601-3255
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Fax | 317-713-1141
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SHANNON C HARRELL
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Credential |
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Telephone | 317-610-3255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | IN
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