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General NPI Number Information
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NPI Number | 1609546381
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH URGENT CARE CENTERS, LLC
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 326 S WOODSCREST DR
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City | BLOOMINGTON
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State | IN
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Zip | 47401-5314
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Country | US
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Telephone | 812-650-9550
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Fax |
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone | 877-668-5621
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | FRANK RUNION
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Credential |
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Telephone | 317-948-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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