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General NPI Number Information
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NPI Number | 1013199066
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Entity Type | Individual
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Provider Name | MRS. NANCY KNEELAND
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Gender | Female
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Dates
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Enumeration Date | 12/02/2007
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 1481 WEST 10TH ST. VA MEDICAL CENTER
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City | INDIANAPOLIS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-988-2233
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91
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City | NORTH SALEM
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State | IN
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Zip | 46165-0091
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Country | US
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Telephone | 317-442-3840
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23001648A
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License Number State | IN
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