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General NPI Number Information
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NPI Number | 1780081299
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Entity Type | Organization
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Legal Business Name | FISHERS DIGESTIVE CARE
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 13914 SOUTHEASTERN PKWY SUITE 208
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City | FISHERS
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State | IN
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Zip | 46037-7127
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Country | US
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Telephone | 317-415-9277
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Fax | 317-415-9280
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Provider Business Mailing Address
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Address Line | 13914 SOUTHEASTERN PKWY SUITE 208
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City | FISHERS
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State | IN
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Zip | 46037-7127
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Country | US
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Telephone | 317-415-9277
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Fax | 317-415-9280
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANIL YAKHMI
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Credential | M.D
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Telephone | 317-415-9277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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