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General NPI Number Information
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NPI Number | 1588122162
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Entity Type | Organization
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Legal Business Name | PHYSICIAN SOLUTIONS
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 429 E VERMONT ST STE 110
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3685
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Country | US
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Telephone | 317-559-0950
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Fax |
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Provider Business Mailing Address
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Address Line | 7007 GRAHAM RD STE 215
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-4063
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Country | US
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Telephone | 574-304-0428
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JOE BANKS II
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Credential | DO
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Telephone | 574-304-0428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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