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General NPI Number Information
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NPI Number | 1891289278
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Entity Type | Organization
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Legal Business Name | WORKPLACE HEALTH SERVICES
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 7625 S LAYTON RD
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City | ANDERSON
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State | IN
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Zip | 46011-9496
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Country | US
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Telephone | 765-635-2555
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Fax | 765-221-7564
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Provider Business Mailing Address
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Address Line | 714 N SENATE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-3763
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ONSITE MANAGER
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Name | LEAH MARIE BERGMAN
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Credential |
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Telephone | 317-963-1612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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