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General NPI Number Information
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NPI Number | 1871352161
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Entity Type | Organization
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Legal Business Name | IU HEALTH
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 2651 E DISCOVERY PKWY
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9059
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Country | US
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Telephone | 765-346-1277
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Fax |
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Provider Business Mailing Address
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Address Line | 2540 FIRE STATION RD
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City | MARTINSVILLE
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State | IN
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Zip | 46151-9240
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Country | US
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Telephone | 765-346-1277
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIETITIAN
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Name | HALLIE LITTLE
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Credential | RD
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Telephone | 812-918-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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