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HAZEL DELL PEDIATRAICS LLC NPI 1033326376


NPI Information

NPI: 1033326376
Provider Name: HAZEL DELL PEDIATRAICS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D1040845

Address:
13250 HAZEL DELL PKWY
SUITE 103
CARMEL, IN
ZIP 46033
Phone: (317) 843-9475
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HAZEL DELL PEDIATRAICS, LLC is a primary care clinic center in Carmel, IN. HAZEL DELL PEDIATRAICS, LLC NPI is 1033326376. The provider is registered as an organization entity type.

The provider's business location address is:

13250 HAZEL DELL PKWY
SUITE 103
CARMEL, IN
ZIP 46033-521
Phone: (317) 843-9475
Fax: (317) 843-9476

The provider's authorized official is Catherine J Luce .
The authorized official title is Office Manager and has the following contact phone number (317) 843-9554.

The CLIA number assigned to this NPI record is 15D1040845 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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