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General NPI Number Information
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NPI Number | 1801260765
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Entity Type | Organization
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Legal Business Name | REHABILITATION HOSPITAL OF INDIANA
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 9531 VALPARAISO CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1130
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Country | US
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Telephone | 317-879-8940
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Fax |
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Provider Business Mailing Address
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Address Line | 9531 VALPARAISO CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1130
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Country | US
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Telephone | 317-879-8940
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | DR. LANCE TREXLER
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Credential | PH.D.
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Telephone | 317-879-8940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 88000118A
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License Number State | IN
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