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General NPI Number Information
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NPI Number | 1982038741
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Entity Type | Organization
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Legal Business Name | INDIANA CONNECTIONS ACADEMY, INC
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 6640 INTECH BLVD STE 250 ATTN: CHRISTIE KESSLER
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-2018
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Country | US
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Telephone | 317-550-3188
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Fax | 317-536-3532
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Provider Business Mailing Address
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Address Line | 6640 INTECH BLVD STE 250 ATTN: CHRISTIE KESSLER
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-2018
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Country | US
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Telephone | 317-550-3188
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Fax | 317-536-3532
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MELISSA BROWN
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Credential |
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Telephone | 317-667-0237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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