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General NPI Number Information
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NPI Number | 1821287228
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Entity Type | Organization
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Legal Business Name | DEITSCH & ROYER MD INC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 1130 NORTH J STREET DEITSCH & ROYER MD INC
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City | RICHMOND
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State | IN
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Zip | 47374
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Country | US
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Telephone | 765-935-3151
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Fax | 765-935-7487
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Provider Business Mailing Address
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Address Line | 1130 NORTH J STREET DEITSCH & ROYER MD INC
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City | RICHMOND
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State | IN
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Zip | 47374
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Country | US
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Telephone | 765-935-3151
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Fax | 765-935-7487
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Authorized Official
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Title or Position | DR SEC & TREAS
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Name | DR. HOWARD CHRISTOPHER DEITSCH
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Credential | MD
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Telephone | 765-935-3151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01024366A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01050945B
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01025101B
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License Number State | IN
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