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General NPI Number Information
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NPI Number | 1932065356
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Entity Type | Organization
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Legal Business Name | JOINT AND VASCULAR INSTITUTE INDIANA
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 9410 CALUMET AVE STE 302
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City | MUNSTER
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State | IN
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Zip | 46321-0018
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Country | US
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Telephone | 847-584-3959
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 W WINCHESTER RD STE 146
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-5359
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Country | US
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Telephone | 847-584-3959
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIKIN PATEL
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Credential | MD
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Telephone | 815-814-0728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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