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General NPI Number Information
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NPI Number | 1740136308
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Entity Type | Organization
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Legal Business Name | INDIANA PEDIATRIC ASSOCIATES, PC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 2255 PHILADELPHIA ST STE A AND STE B
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City | INDIANA
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State | PA
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Zip | 15701-1595
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Country | US
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Telephone | 724-462-0476
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Fax |
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Provider Business Mailing Address
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Address Line | 2255 PHILADELPHIA ST STE A AND STE B
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City | INDIANA
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State | PA
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Zip | 15701
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Country | US
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Telephone | 724-462-0476
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JONNA KELLER
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Credential |
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Telephone | 724-463-0476
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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 |
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