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General NPI Number Information
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NPI Number | 1770267486
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Entity Type | Organization
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Legal Business Name | SHALOM HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 9240 N MERIDIAN ST STE 180
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2065
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Country | US
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Telephone | 317-291-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 LAFAYETTE RD STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-1147
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Country | US
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Telephone | 317-291-7422
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL A NINO
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Credential |
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Telephone | 317-269-7198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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