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General NPI Number Information
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NPI Number | 1821436031
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Entity Type | Organization
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Legal Business Name | THE VOICE CLINIC
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 1185 W CARMEL DR STE D1A
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City | CARMEL
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State | IN
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Zip | 46032-8708
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Country | US
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Telephone | 317-450-4180
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Fax | 317-324-3950
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Provider Business Mailing Address
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Address Line | PO BOX 790126 DEPT. 8008
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City | ST. LOUIS
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State | MO
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Zip | 63179-0126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | STACEY LEIGH HALUM
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Credential | M.D.
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Telephone | 317-490-8129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01061360A
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License Number State | IN
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