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NPI Code Detail

MEDICARE: RONDA GILL

MEDICARE: RONDA GILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIN
2171W00000XContractorIN

General Provider Information

NPI Number : 1356712475
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONDA GILL
Provider Business Mailing Address
First Line : 4126 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-2613
Country : US
Telephone Number : 317-686-0931
Fax Number :
Provider Business Practice Location Address
First Line : 4126 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-2613
Country : US
Telephone Number : 317-686-0931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2015
Last Update Date : 10/15/2015

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Directions to “ RONDA GILL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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