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General NPI Number Information
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NPI Number | 1770538340
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS OF INDIANAPOLIS, PC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 8111 S EMERSON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8601
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Country | US
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Telephone | 317-528-8148
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Fax | 317-528-8115
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Provider Business Mailing Address
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Address Line | PO BOX 7112 DEPT 31
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City | INDIANAPOLIS
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State | IN
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Zip | 46207-7112
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Country | US
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Telephone | 317-802-3151
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Fax | 317-870-0499
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Authorized Official
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Title or Position | PRESIDENT
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Name | RANDALL TODD
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Credential | MD
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Telephone | 317-528-8148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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