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General NPI Number Information
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NPI Number | 1992723829
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Entity Type | Organization
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Legal Business Name | RADIOLOGY OF INDIANA P C
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 9998 CROSSPOINT BLVD STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-3307
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Country | US
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Telephone | 317-806-8260
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Fax | 317-806-8296
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Provider Business Mailing Address
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Address Line | 9998 CROSSPOINT BLVD STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-3307
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Country | US
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Telephone | 317-806-8260
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Fax | 317-806-8296
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | JANICE THOMPSON
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Credential |
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Telephone | 317-806-8260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology 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 | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology 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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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