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General NPI Number Information
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NPI Number | 1972138618
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH ARNETT, INC.
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 1327 VETERANS MEMORIAL PKWY E
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City | LAFAYETTE
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State | IN
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Zip | 47905-8917
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Country | US
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Telephone | 765-838-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 W WHITE RIVER BLVD ATTN: PROVIDER ENROLLMENT
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City | MUNCIE
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State | IN
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Zip | 47303-4988
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Country | US
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Telephone | 765-282-8900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL E NEUFELDER
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Credential |
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Telephone | 765-838-6212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number |
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License Number State |
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