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General NPI Number Information
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NPI Number | 1659302883
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Entity Type | Organization
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Legal Business Name | CARDINAL HEALTH PARTNERS, LLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 205 N TILLOTSON AVE
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City | MUNCIE
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State | IN
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Zip | 47304-3900
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Country | US
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Telephone | 765-288-1995
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Fax | 765-281-9114
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Provider Business Mailing Address
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Address Line | 205 N TILLOTSON AVE
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City | MUNCIE
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State | IN
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Zip | 47304-3900
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Country | US
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Telephone | 765-288-1995
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Fax | 765-281-9114
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Authorized Official
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Title or Position | COO PHYSICIAN NETWORK SERVICES
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Name | JAN VANGETS
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Credential |
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Telephone | 765-751-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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