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NPI 1710394739

NPI 1710394739 : PARMORE MEDICAL SERVICES LLC : EVANSVILLE, IN

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General NPI Number Information
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    NPI Number           |    1710394739
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARMORE MEDICAL SERVICES LLC 
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Dates
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    Enumeration Date     |    07/22/2014
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    3700 BELLEMEADE AVE STE 117 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47714-0106
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    Country              |    US
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    Telephone            |    812-475-8900
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    Fax                  |    812-475-0024
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5475 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47716-5475
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    Country              |    US
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    Telephone            |    812-475-8900
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    Fax                  |    812-475-0024
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |    DR. THOMAS K HUPFER 
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    Credential           |    DPM
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    Telephone            |    812-475-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    07000766A
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    License Number State |    IN
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