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General NPI Number Information
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NPI Number | 1669620829
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Entity Type | Organization
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Legal Business Name | PHYSICIANS HOUSE CALLS USA LLC
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 6814 ABERCON TRL
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7192
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Country | US
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Telephone | 317-773-5099
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Fax | 317-773-3010
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Provider Business Mailing Address
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Address Line | 6814 ABERCON TRL
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7192
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Country | US
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Telephone | 317-773-5099
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Fax | 317-773-3010
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARSHELLA A NELSON
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Credential |
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Telephone | 13177735099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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