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General NPI Number Information
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NPI Number | 1689024713
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Entity Type | Organization
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Legal Business Name | PALMS CLEANING INC
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Dates
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Enumeration Date | 06/20/2016
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 9165 OTIS AVE SUITE 213
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-2027
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Country | US
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Telephone | 317-941-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 5381 BRASSIE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46235-6014
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Country | US
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Telephone | 317-941-9220
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PAULA REDDEN
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Credential |
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Telephone | 317-941-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 15-013806-1
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License Number State | IN
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