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General NPI Number Information
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NPI Number | 1962821793
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Entity Type | Organization
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Legal Business Name | BEEWELL, INC
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 6967 HILLSDALE CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2054
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Country | US
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Telephone | 317-388-5086
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Fax | 317-536-3884
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Provider Business Mailing Address
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Address Line | 6967 HILLSDALE CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2054
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Country | US
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Telephone | 317-388-5086
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Fax | 317-536-3884
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. MARTA J METCALFE
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Credential | EDD
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Telephone | 317-388-5086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 140134251
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License Number State | IN
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