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General NPI Number Information
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NPI Number | 1669982492
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Entity Type | Organization
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Legal Business Name | US ACCESS CARE OF INDIANAPOLIS, LLC
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 201 NORTH ILLINOIS ST 16TH FLOOR - SOUTH TOWER
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-4618
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Country | US
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Telephone | 650-520-0773
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Fax |
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Provider Business Mailing Address
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Address Line | 201 NORTH ILLINOIS ST 16TH FLOOR - SOUTH TOWER
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-970-0477
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Fax | 317-970-0476
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SANJAY MOHINDRA
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Credential | MD
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Telephone | 650-520-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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