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General NPI Number Information
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NPI Number | 1679635197
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Entity Type | Individual
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Provider Name | ANNABELLA JUHASZ MD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 230 COMMERCE SQUARE
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-3282
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Country | US
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Telephone | 219-879-2663
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Fax | 219-879-3649
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Provider Business Mailing Address
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Address Line | 230 COMMERCE SQUARE
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-3282
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Country | US
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Telephone | 219-879-2663
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Fax | 219-879-3649
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01036267
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License Number State | IN
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