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14540 Prairie Lakes Blvd N Ste 101 Noblesville IN 46060-4370 | |
(317) 903-2346 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 14540 Prairie Lakes Blvd N Ste 101, Noblesville, Indiana |
Authorized Official Name and Position | Benjamin Farthing (CEO) |
Authorized Official Contact | 3179032346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10570 Gardner Ct Fortville IN 46040-9277 Ph: (317) 903-2346 | 14540 Prairie Lakes Blvd N Ste 101 Noblesville IN 46060-4370 Ph: (317) 903-2346 |
NPI Number | 1689484875 |
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Provider Enumeration Date | 01/09/2025 |
Last Update Date | 01/24/2025 |
Identifier | Type | State | Issuer |
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1689484875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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