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General NPI Number Information
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NPI Number | 1831387265
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Entity Type | Organization
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Legal Business Name | THOMAS TRANCIK, M.D., L.L.C.
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 13400 N MERIDIAN ST SUITE 392
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City | CARMEL
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State | IN
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Zip | 46032-7102
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Country | US
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Telephone | 317-582-8610
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Fax | 317-582-8616
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Provider Business Mailing Address
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Address Line | 13400 N MERIDIAN ST SUITE 392
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City | CARMEL
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State | IN
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Zip | 46032-7102
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Country | US
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Telephone | 317-582-8610
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Fax | 317-582-8616
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS TRANCIK
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Credential | M.D.
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Telephone | 317-582-8610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01058142A
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License Number State | IN
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