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General NPI Number Information
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NPI Number | 1013635333
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Entity Type | Individual
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Provider Name | CARRIE ANN DEAKINS MSN, RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 617 E STRAWBERRY RD
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City | MONTEZUMA
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State | IN
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Zip | 47862-8116
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Country | US
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Telephone | 888-862-9525
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Fax | 765-736-0593
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Provider Business Mailing Address
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Address Line | 5651 N RAINBOW DR E
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City | BRAZIL
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State | IN
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Zip | 47834-8395
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Country | US
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Telephone | 812-841-0161
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71012965A
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License Number State | IN
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