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General NPI Number Information
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NPI Number | 1811317977
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Entity Type | Organization
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Legal Business Name | MSO CLINICS, INC.
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 2229 MARY SHERMAN DR
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City | SULLIVAN
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State | IN
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Zip | 47882-7633
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Country | US
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Telephone | 812-268-3318
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Fax | 812-268-4017
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Provider Business Mailing Address
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Address Line | PO BOX 230
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City | SULLIVAN
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State | IN
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Zip | 47882-0230
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Country | US
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Telephone | 812-268-3318
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Fax | 812-268-4017
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Authorized Official
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Title or Position | CEO
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Name | MRS. MICHELLE FRANKLIN
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Credential | MSN
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Telephone | 812-268-4311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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