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General NPI Number Information
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NPI Number | 1730418880
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Entity Type | Organization
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Legal Business Name | SOLIS WOMEN'S HEALTH BREAST IMAGING SPECIALISTS OF INDIANA, PC
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Dates
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Enumeration Date | 12/21/2009
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 11450 NORTH MERIDIAN STREET SUITE 100
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-872-3583
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Fax | 317-844-2893
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Provider Business Mailing Address
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Address Line | 15601 DALLAS PARKWAY SUITE 500
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City | ADDISON
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State | TX
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Zip | 75001-6021
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Country | US
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Telephone | 469-398-4100
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Fax | 469-398-4189
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | NATALIE KEHM
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Credential |
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Telephone | 469-398-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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