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General NPI Number Information
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NPI Number | 1639627862
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER INDIANAPOLIS
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 430 S ALABAMA ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46225-3301
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Country | US
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Telephone | 317-713-8548
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Fax |
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Provider Business Mailing Address
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Address Line | 615 N ALABAMA ST SUITE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1430
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Country | US
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Telephone | 317-266-9622
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Fax | 317-266-2845
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT OF FINANCE
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Name | JANET L ALLABY
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Credential |
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Telephone | 317-713-8530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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