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1477558286

NPI Code Detail

MEDICARE: LINDA SOPER MD

MEDICARE: LINDA SOPER MD

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
1	146D00000X	Personal Emergency Response Attendant	01036848A	IN
2	207Q00000X	Family Medicine Physician	01036848A	IN
3	207P00000X	Emergency Medicine Physician	01036848A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	930126118	OTHER	IN	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477558286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA SOPER MD

Provider Business Mailing Address
First Line	:	8840 COMMERCE PARK PL STE E
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4778 S SCATTERFIELD RD
Second Line	:
City	:	ANDERSON
State	:	IN
Zip	:	46013-2908
Country	:	US
Telephone Number	:	765-646-6331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	12/24/2014

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Directions to “ LINDA SOPER MD” Practice Location

Language	Start Address	Practice Location

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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