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General NPI Number Information
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NPI Number | 1871222422
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Entity Type | Organization
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Legal Business Name | INDIANA JOINT REPLACEMENT INSTITUTE
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1721 MAGNAVOX WAY STE B
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City | FORT WAYNE
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State | IN
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Zip | 46804-1537
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Country | US
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Telephone | 317-620-0232
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Fax | 260-208-9561
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Provider Business Mailing Address
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Address Line | 3834 S EMERSON AVE STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-5902
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Country | US
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Telephone | 317-620-0232
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Fax | 260-208-9561
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT MENEGHINI
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Credential |
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Telephone | 317-620-0232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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