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General NPI Number Information
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NPI Number | 1588448278
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Entity Type | Individual
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Provider Name | MEDINA HALIMANOVIC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1701 N SENATE BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1239
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Country | US
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Telephone | 317-962-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 GRENVILLE ST APT 2C
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City | CARMEL
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State | IN
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Zip | 46032-6981
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Country | US
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Telephone | 260-431-7916
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26030396A
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License Number State | IN
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