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General NPI Number Information
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NPI Number | 1790754828
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH, INC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1801 NORTH SENATE BLVD SUITE 105
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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 | 317-962-5606
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Fax | 317-962-2353
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Provider Business Mailing Address
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Address Line | 1633 N CAPITOL AVE SUITE 438
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1261
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Country | US
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Telephone | 317-963-9730
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Fax | 317-963-5003
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Authorized Official
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Title or Position | SVP AND CFO
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Name | JENNIFER ALVEY
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Credential |
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Telephone | 317-963-0213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60005577A
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License Number State | IN
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