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General NPI Number Information
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NPI Number | 1952081713
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Entity Type | Organization
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Legal Business Name | UPPERLINE HEALTHCARE PC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 8936 SOUTHPOINTE DR STE SP1-C1
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-7507
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Country | US
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Telephone | 888-499-5249
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 CHARLOTTE AVE STE F185
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City | NASHVILLE
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State | TN
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Zip | 37209-4066
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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 | VICE PRESIDENT
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Name | DAVID VANDIVER THORPE
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Credential |
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Telephone | 205-807-3009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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