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General NPI Number Information
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NPI Number | 1992023980
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Entity Type | Organization
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Legal Business Name | INDX SOLUTIONS, PLLC
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 123 LYNNFIELD CT
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City | MOORESVILLE
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State | NC
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Zip | 28117-7115
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Country | US
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Telephone | 704-577-6945
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Fax | 704-894-9840
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Provider Business Mailing Address
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Address Line | 123 LYNNFIELD CT
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City | MOORESVILLE
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State | NC
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Zip | 28117-7115
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Country | US
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Telephone | 704-577-6945
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Fax | 704-894-9840
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Authorized Official
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Title or Position | CEO
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Name | DR. MARK CHRISTOPHER HINES
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Credential | M.D.
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Telephone | 704-577-6945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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