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General NPI Number Information
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NPI Number | 1780022277
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 1701 N. SENATE BLVD., AG012 INDIANA UNIVERSITY SOM.
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-962-3525
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Fax |
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Provider Business Mailing Address
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Address Line | 5551 INDIANOLA AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3334
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Country | US
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Telephone | 520-904-8132
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Fax |
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Authorized Official
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Title or Position | RESIDENT PHYSICIAN
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Name | DR. JASON SAUNDERS
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Credential | MD
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Telephone | 520-904-8132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 11017051A
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License Number State | IN
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