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General NPI Number Information
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NPI Number | 1609114578
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Entity Type | Organization
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Legal Business Name | MEDEXPRESS URGENT CARE, P.C .- INDIANA
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 8455 MOLLER RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46268
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Country | US
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Telephone | 317-872-1472
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Fax | 317-802-7163
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Provider Business Mailing Address
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Address Line | 2 OPTUM CIRCLE
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344
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Country | US
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Telephone | 317-872-1472
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Fax | 317-802-7163
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID FERRRELL
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Credential | M.D.
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Telephone | 317-872-1472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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