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General NPI Number Information
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NPI Number | 1932619467
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Entity Type | Organization
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Legal Business Name | HEALTH PARTNER ASSOCIATES LLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 7855 S EMERSON AVE STE H
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8669
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Country | US
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Telephone | 317-300-0370
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Fax |
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Provider Business Mailing Address
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Address Line | 7855 S EMERSON AVE STE H
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8669
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHAUNA KAY SIDHOM
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Credential | NP
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Telephone | 317-884-3725
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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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