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General NPI Number Information
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NPI Number | 1730793530
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Entity Type | Organization
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Legal Business Name | CHOICE THERAPY
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 11/24/2024
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Provider Practice Location Address
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Address Line | 7035 MONTROFF CIR
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-2349
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Country | US
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Telephone | 317-778-2826
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Fax |
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Provider Business Mailing Address
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Address Line | 7035 MONTROFF CIR
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-2349
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Country | US
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Telephone | 317-695-6183
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALINA SMITH
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Credential | PMHNP
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Telephone | 317-695-6182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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