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General NPI Number Information
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NPI Number | 1669043808
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Entity Type | Organization
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Legal Business Name | WORKPLACE SERVICES, LLC
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 1776 W STATE ROAD 234 STE 200
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City | FORTVILLE
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State | IN
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Zip | 46040-9562
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Country | US
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Telephone | 317-482-5000
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Fax | 317-482-5005
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Provider Business Mailing Address
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Address Line | 714 N SENATE AVE STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3297
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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 | OPERATIONS MANAGER
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Name | LEAH MARIE BERGMAN
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Credential |
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Telephone | 317-963-1612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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