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General NPI Number Information
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NPI Number | 1922828904
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Entity Type | Organization
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Legal Business Name | PRIORITY PHYSICIANS OF INDIANAPOLIS, INC.
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 8333 NAAB RD STE 360
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1983
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Country | US
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Telephone | 317-338-6400
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Fax | 317-338-6612
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Provider Business Mailing Address
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Address Line | 8333 NAAB RD STE 360
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1983
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Country | US
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Telephone | 317-338-6400
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Fax | 317-338-6612
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JOSEPH EDWARD RIZZUTO
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Credential |
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Telephone | 317-338-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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