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General NPI Number Information
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NPI Number | 1689010027
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HEALTH PARTNERSHIP, INC
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 11805 N PENNSYLVANIA ST
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City | CARMEL
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State | IN
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Zip | 46032-4555
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Country | US
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Telephone | 317-580-4006
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Fax |
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Provider Business Mailing Address
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Address Line | 11805 N PENNSYLVANIA ST
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City | CARMEL
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State | IN
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Zip | 46032-4555
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Country | US
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Telephone | 317-580-4006
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DEEPTI RAO
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Credential | MD
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Telephone | 317-580-4006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 01059177A
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License Number State | IN
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