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General NPI Number Information
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NPI Number | 1972747913
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Entity Type | Organization
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Legal Business Name | SOUTHERN INDIANA CREDIT CORPORATION
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 62 DOUGHTY RD SUITE 1B
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-2950
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Country | US
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Telephone | 812-539-2274
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Fax | 812-539-2275
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Provider Business Mailing Address
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Address Line | 62 DOUGHTY RD SUITE 1B
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-2950
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Country | US
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Telephone | 812-539-2274
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Fax | 812-539-2275
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAY FRITZ
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Credential |
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Telephone | 812-539-2274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | INID69693
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License Number State | IN
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