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General NPI Number Information
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NPI Number | 1912833328
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Entity Type | Organization
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Legal Business Name | ASCENSION MEDICAL GROUP
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 300 E BOYD AVE STE 201
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City | GREENFIELD
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State | IN
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Zip | 46140-2818
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Country | US
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Telephone | 317-462-5112
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Fax | 317-462-2679
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Provider Business Mailing Address
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Address Line | 300 E BOYD AVE STE 201
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City | GREENFIELD
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State | IN
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Zip | 46140-2818
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Country | US
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Telephone | 317-462-5112
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Fax | 317-462-2679
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Authorized Official
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Title or Position | CARDIOLOGIST
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Name | MR. JASON JAYROE
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Credential | MD
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Telephone | 317-462-5112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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