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General NPI Number Information
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NPI Number | 1568925154
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Entity Type | Organization
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Legal Business Name | INNER-HEART CIRCLE, LLC
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 11659 SINCLAIR DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46235-6030
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Country | US
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Telephone | 317-721-4271
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Fax | 888-251-1412
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Provider Business Mailing Address
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Address Line | 11659 SINCLAIR DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46235-6030
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Country | US
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Telephone | 317-427-3444
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. HALIMA AL-KHATTAB
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Credential | PHD, PMHNP
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Telephone | 317-427-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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