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General NPI Number Information
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NPI Number | 1942410220
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Entity Type | Organization
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Legal Business Name | ZIONSVILLE OSTEOPATHIC PHSYCIANS INC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1180 MEDICAL CT SUITE A
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City | CARMEL
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State | IN
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Zip | 46032-2987
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Country | US
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Telephone | 317-575-0522
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Fax | 317-575-0532
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Provider Business Mailing Address
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Address Line | 1180 MEDICAL CT SUITE A
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City | CARMEL
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State | IN
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Zip | 46032-2987
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Country | US
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Telephone | 317-575-0522
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Fax | 317-575-0532
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HERBERT CHARLES MILLER
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Credential | DO
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Telephone | 317-575-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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