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General NPI Number Information
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NPI Number | 1669002945
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Entity Type | Organization
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Legal Business Name | INDIANA GUIDE RIGHT FOUNDATION, INC.
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Dates
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Enumeration Date | 01/25/2020
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Last Update Date | 01/25/2020
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Provider Practice Location Address
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Address Line | 3540 COMMERCIAL DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-1678
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Country | US
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Telephone | 317-507-3165
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88933
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-0933
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | RAMON MORRISON
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Credential |
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Telephone | 317-507-3165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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