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General NPI Number Information
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NPI Number | 1972304426
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Entity Type | Organization
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Legal Business Name | WESTFIELD ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 17600 SHAMROCK BLVD STE 600
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City | WESTFIELD
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State | IN
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Zip | 46074-7002
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Country | US
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Telephone | 317-214-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 17600 SHAMROCK BLVD STE 600
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City | WESTFIELD
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State | IN
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Zip | 46074-7002
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Country | US
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Telephone | 317-776-7140
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID HYATT
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Credential |
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Telephone | 317-776-7118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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