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General NPI Number Information
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NPI Number | 1902117146
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Entity Type | Organization
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Legal Business Name | SOLUTIONS HEALTH CLINIC
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 07/07/2010
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Provider Practice Location Address
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Address Line | 7165 CLEARVISTA WAY
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-4621
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Country | US
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Telephone | 317-621-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 10391 POWER DR
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City | CARMEL
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State | IN
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Zip | 46033-4762
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Country | US
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Telephone | 317-818-1096
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JASON CHAD
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Credential | M.D.
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Telephone | 317-818-1096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01060267A
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License Number State | IN
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