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General NPI Number Information
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NPI Number | 1770765281
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Entity Type | Organization
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Legal Business Name | MARKETPLACE FINANCIAL, INCORPORATED
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 1309 E MCKINLEY AVE
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City | MISHAWAKA
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State | IN
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Zip | 46545-4219
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Country | US
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Telephone | 574-249-0734
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Fax |
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Provider Business Mailing Address
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Address Line | 504 S PEARL ST
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City | KNOX
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State | IN
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Zip | 46534-2520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | SHAWN MICHAEL DUHNOVSKY
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Credential |
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Telephone | 574-249-0734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | IN
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