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General NPI Number Information
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NPI Number | 1710099106
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Entity Type | Organization
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Legal Business Name | PHYSICIANS PRACTICE ORGANIZATION, INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 103 WILLOW ST STE B
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City | NASHVILLE
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State | IN
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Zip | 47448-7605
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Country | US
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Telephone | 812-988-2223
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Fax | 812-988-3933
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | NASHVILLE
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State | IN
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Zip | 47448-0127
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Country | US
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Telephone | 812-988-2223
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Fax | 812-988-3933
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN R ALESSI
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Credential | DO
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Telephone | 812-988-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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