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General NPI Number Information
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NPI Number | 1801116223
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL CARE OF INDIANA INC
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 654 ELLSWORTH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-6132
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Country | US
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Telephone | 317-690-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 654 ELLSWORTH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-6132
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Country | US
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Telephone | 317-690-2666
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BAKUL PATEL
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Credential | M.D.
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Telephone | 317-429-9336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 01052484A
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License Number State | IN
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