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General NPI Number Information
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NPI Number | 1548201452
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Entity Type | Organization
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Legal Business Name | 1012 INVESTMENTS, LLC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 9120 S COUNTY ROAD 800 W
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City | DALEVILLE
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State | IN
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Zip | 47334-9421
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Country | US
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Telephone | 317-557-6165
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Fax | 317-595-6050
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Provider Business Mailing Address
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Address Line | 9120 S COUNTY ROAD 800 W
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City | DALEVILLE
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State | IN
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Zip | 47334-9421
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Country | US
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Telephone | 317-557-6165
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Fax | 317-595-6050
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | STEVEN J. GANOTE
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Credential |
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Telephone | 317-557-6165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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