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General NPI Number Information
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NPI Number | 1558679944
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Entity Type | Organization
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Legal Business Name | CUMMINS BEHAVIORAL HEALTH SYSTEM
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 6655 E US HIGHWAY 36
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City | AVON
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State | IN
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Zip | 46123-8923
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Country | US
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Telephone | 317-272-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 E US HIGHWAY 36 STE 100
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City | AVON
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State | IN
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Zip | 46123-6645
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Country | US
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Telephone | 317-745-9555
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Fax | 317-745-9565
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ANN BORDERS
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Credential |
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Telephone | 317-272-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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