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NPI Code Detail

MEDICARE: EMILY REPASKY

MEDICARE: EMILY REPASKY
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
1106S00000XBehavior TechnicianRBT-19-106860IN

General Provider Information

NPI Number : 1922686807
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY REPASKY
Provider Business Mailing Address
First Line : 7901 E 88TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1235
Country : US
Telephone Number : 317-849-5437
Fax Number :
Provider Business Practice Location Address
First Line : 1341 OHIO ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47807-3940
Country : US
Telephone Number : 812-478-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2021
Last Update Date : 03/31/2021

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Directions to “ EMILY REPASKY ” 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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