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General NPI Number Information
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NPI Number | 1679965263
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Entity Type | Organization
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Legal Business Name | LIFE SOLUTIONS SOUTH OF INDIANA
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 120 E MARKET ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3250
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Country | US
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Telephone | 919-492-0783
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Fax | 800-901-0720
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Provider Business Mailing Address
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Address Line | 120 E MARKET ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3250
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Country | US
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Telephone | 919-492-0783
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Fax | 800-901-0720
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | MRS. GIA HOPKINS
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Credential |
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Telephone | 919-492-0783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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