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General NPI Number Information
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NPI Number | 1942071915
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Entity Type | Organization
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Legal Business Name | PRORENATA DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 1248 HAMILTON DR
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City | GREENWOOD
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State | IN
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Zip | 46143-5530
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Country | US
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Telephone | 800-396-4291
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Fax |
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Provider Business Mailing Address
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Address Line | 8063 MADISON AVE PMB 571
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City | INDIANAPOLIS
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State | IN
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Zip | 46227
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Country | US
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Telephone | 800-396-4291
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TALEIA POWELL
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Credential |
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Telephone | 800-396-4291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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