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General NPI Number Information
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NPI Number | 1629463906
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES INDIANAPOLIS
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1400 N MERIDIAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2305
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Country | US
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Telephone | 317-236-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 N MERIDIAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2305
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Country | US
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Telephone | 317-236-1500
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DAVID J. BETHURAM
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Credential |
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Telephone | 317-236-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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