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General NPI Number Information
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NPI Number | 1770338295
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Entity Type | Organization
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Legal Business Name | PAGE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/18/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 300 E MAIN ST STE D
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City | CARMEL
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State | IN
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Zip | 46032-1782
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Country | US
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Telephone | 463-224-2641
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Fax | 800-783-1430
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Provider Business Mailing Address
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Address Line | 300 E MAIN ST STE D
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City | CARMEL
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State | IN
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Zip | 46032-1782
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Country | US
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Telephone | 463-224-2641
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Fax | 800-783-1430
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Authorized Official
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Title or Position | OWNER
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Name | KRISTY PAGE
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Credential | FNP-C, PMHNP-C
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Telephone | 463-224-2641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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