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General NPI Number Information
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NPI Number | 1871660084
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Entity Type | Organization
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Legal Business Name | ARTHRITIS ASSOCIATES OF SOUTHERN INDIANA
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 1919 STATE ST STE 244
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City | NEW ALBANY
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State | IN
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Zip | 47150-6804
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Country | US
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Telephone | 812-948-5010
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Fax | 812-944-4661
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Provider Business Mailing Address
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Address Line | 1919 STATE ST STE 244
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City | NEW ALBANY
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State | IN
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Zip | 47150-6804
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Country | US
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Telephone | 812-948-5010
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHSEN EHSAN
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Credential | MD
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Telephone | 812-948-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 31757
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License Number State | IN
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