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General NPI Number Information
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NPI Number | 1992755490
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Entity Type | Organization
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Legal Business Name | MERIDIAN HEALTH SERVICES CORP
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 240 N TILLOTSON AVE
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City | MUNCIE
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State | IN
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Zip | 47304-3988
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Country | US
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Telephone | 765-288-1928
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Fax | 765-741-0340
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Provider Business Mailing Address
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Address Line | 240 N TILLOTSON AVE
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City | MUNCIE
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State | IN
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Zip | 47304-3988
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Country | US
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Telephone | 765-288-1928
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Fax | 765-741-0340
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Authorized Official
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Title or Position | CFO
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Name | SCOTT RIGGS
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Credential |
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Telephone | 765-288-1928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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