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General NPI Number Information
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NPI Number | 1023896552
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Entity Type | Individual
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Provider Name | LINNESSA SUANNE SCOTT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 8111 S EMERSON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8601
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Country | US
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Telephone | 317-528-8148
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Fax | 317-528-8115
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Provider Business Mailing Address
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Address Line | 651 N INDIANA ST
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City | MOORESVILLE
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State | IN
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Zip | 46158-1218
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Country | US
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Telephone | 317-506-9926
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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 | 71014544A
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License Number State | IN
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