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General NPI Number Information
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NPI Number | 1538818539
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Entity Type | Organization
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Legal Business Name | HEALTH PSYCHOLOGY ASSOCIATES OF INDIANA, LLC
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 4000 W 106TH ST # 121
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City | CARMEL
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State | IN
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Zip | 46032-7720
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Country | US
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Telephone | 317-627-0541
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 W 106TH ST # 121
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City | CARMEL
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State | IN
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Zip | 46032-7720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | SARAH JENKINS
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Credential | PH.D.
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Telephone | 317-627-0541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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