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General NPI Number Information
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NPI Number | 1659577591
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Entity Type | Organization
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Legal Business Name | ANDREW J. BROWN ACADEMY
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 3600 N GERMAN CHURCH RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46235-8504
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Country | US
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Telephone | 317-891-0730
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Fax | 317-891-0908
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Provider Business Mailing Address
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Address Line | 3600 N GERMAN CHURCH RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46235-8504
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Country | US
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Telephone | 317-891-0730
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Fax | 317-891-0908
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MS. THELMA WYATT
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Credential |
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Telephone | 317-891-0730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 5488
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License Number State | IN
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