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General NPI Number Information
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NPI Number | 1568618999
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 545 BARNHILL DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5112
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Country | US
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Telephone | 317-274-7139
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Fax |
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Provider Business Mailing Address
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Address Line | 4709 EAGLES WATCH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-9536
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Country | US
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Telephone | 317-757-6676
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Fax |
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Authorized Official
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Title or Position | GENERAL SURGERY RESIDENT
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Name | DR. OSCAR IGNACIO MORENO-PONTE
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Credential | MD
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Telephone | 317-362-5518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 11014403A
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License Number State | IN
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