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NPI 1831002989

NPI 1831002989 : 1ELEVAN BIORX, INC. : FISHERS, IN

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General NPI Number Information
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    NPI Number           |    1831002989
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    Entity Type          |    Organization 
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    Legal Business Name  |    1ELEVAN BIORX, INC. 
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Dates
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    Enumeration Date     |    09/28/2026
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    Last Update Date     |    09/28/2026
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Provider Practice Location Address
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    Address Line         |    12001 EXIT 5 PKWY 
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    City                 |    FISHERS
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    State                |    IN
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    Zip                  |    46037-7940
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    Country              |    US
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    Telephone            |    317-732-1100
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    Fax                  |    317-732-7885
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Provider Business Mailing Address
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    Address Line         |    12001 EXIT 5 PKWY 
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    City                 |    FISHERS
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    State                |    IN
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    Zip                  |    46037-7940
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    Country              |    US
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    Telephone            |    317-732-1100
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    Fax                  |    317-732-7885
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     LORI SUE KILE 
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    Credential           |    RPH
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    Telephone            |    317-732-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    3336H0001X
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    Taxonomy Name        |    Home Infusion Therapy Pharmacy
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #3
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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    License Number       |    
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    License Number State |    NULL
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