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1033387824
THE PROVIDER NETWORK, LLC
CARMEL, IN
NPI
1033387824
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Entity Type
Organization
Authorized Contact
STEWART CLARK
President
317-507-4280
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2008-02-14
Last Update Date
2008-02-14
Business Address
THE PROVIDER NETWORK, LLC
11688 LAKE FOREST PKWY
CARMEL, IN 46033-7208
Phone number: 317-507-4280
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Mailing Address
THE PROVIDER NETWORK, LLC
11688 LAKE FOREST PKWY
CARMEL, IN 46033-7208
Phone number: 317-507-4280
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