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General NPI Number Information
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NPI Number | 1881642395
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Entity Type | Organization
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Legal Business Name | FRANCISCAN CARDIOVASCULAR LABORATORY, LLC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5330 EAST STOP 11 ROAD SUITE 101
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City | INDIANAPOLIS
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State | IN
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Zip | 46237
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Country | US
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Telephone | 317-893-1920
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Fax | 317-893-1921
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Provider Business Mailing Address
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Address Line | 5330 EAST STOP 11 ROAD SUITE 101
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City | INDIANAPOLIS
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State | IN
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Zip | 46237
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Country | US
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Telephone | 317-893-1920
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Fax | 317-893-1921
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Authorized Official
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Title or Position | CATH LAB MANAGER
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Name | KRIS VANCE
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Credential | RN
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Telephone | 317-893-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | IN
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