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General NPI Number Information
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NPI Number | 1689016776
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Entity Type | Organization
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Legal Business Name | SOUTH INDY MRI AND REHAB SERVICES
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 8141 S EMERSON AVE SUITE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8560
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Country | US
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Telephone | 317-888-8277
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Fax | 317-888-2560
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Provider Business Mailing Address
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Address Line | 8141 S EMERSON AVE SUITE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8560
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Country | US
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Telephone | 317-888-8277
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Fax | 317-888-2560
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KIMBERLY A FOOTE
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Credential |
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Telephone | 317-888-8277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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