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NPI 1750447611

NPI 1750447611 : NEW PERSPECTIVES OF INDIANA, INC. : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1750447611
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW PERSPECTIVES OF INDIANA, INC. 
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Dates
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    Enumeration Date     |    12/28/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    6308 RUCKER RD STE B 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46220-4881
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    Country              |    US
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    Telephone            |    317-465-9688
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    Fax                  |    317-465-9689
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Provider Business Mailing Address
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    Address Line         |    6308 RUCKER RD STE B 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46220-4881
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    Country              |    US
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    Telephone            |    317-465-9688
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    Fax                  |    317-465-9689
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Authorized Official
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    Title or Position    |    PRESIDENT AND OWNER
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    Name                 |    MRS. JANICE E GABE 
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    Credential           |    LCSW, MAC, CADAC
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    Telephone            |    317-465-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302F00000X
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    Taxonomy Name        |    Exclusive Provider Organization
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    License Number       |    34001287A
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    License Number State |    IN
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