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General NPI Number Information
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NPI Number | 1922335991
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Entity Type | Organization
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Legal Business Name | SPECIAL CARE INC
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 8790 PURDUE RD SUITE 125
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-6128
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Country | US
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Telephone | 317-228-9842
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Fax | 317-228-9841
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Provider Business Mailing Address
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Address Line | 8790 PURDUE RD SUITE 125
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-6128
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Country | US
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Telephone | 317-228-9842
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Fax | 317-228-9841
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN MWANGI
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Credential |
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Telephone | 317-513-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 09-012226-1
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License Number State | IN
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