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General NPI Number Information
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NPI Number | 1669550588
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Entity Type | Organization
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Legal Business Name | HEART PARTNERS OF INDIANA LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 8075 N SHADELAND #350
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City | INDIANAPOLIS
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State | IN
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Zip | 46250
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Country | US
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Telephone | 317-863-6000
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Fax | 317-841-0394
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Provider Business Mailing Address
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Address Line | 7321 SHADELAND STA STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-3976
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Country | US
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Telephone | 317-863-5824
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Fax | 317-841-0394
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Authorized Official
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Title or Position | CFO
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Name | ANDREA JONES
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Credential |
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Telephone | 317-863-5824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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