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General NPI Number Information
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NPI Number | 1568416295
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Entity Type | Organization
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Legal Business Name | ANESTHESIOLOGIST GROUP OF HENRY COUNTY
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 1000 N 16TH ST
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City | NEW CASTLE
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State | IN
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Zip | 47362-4319
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Country | US
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Telephone | 765-521-0890
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Fax | 765-521-1353
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Provider Business Mailing Address
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Address Line | 2001 N GRANVILLE AVE
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City | MUNCIE
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State | IN
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Zip | 47303-2110
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Country | US
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Telephone | 765-284-0493
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Fax | 765-213-3240
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Authorized Official
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Title or Position | PARTNER
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Name | MERRILL I MOREY
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Credential | MD
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Telephone | 765-521-0890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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