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General NPI Number Information
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NPI Number | 1043592694
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Entity Type | Individual
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Provider Name | KAWANYA E MUHAMMAD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 2840 FORTUNE CIR W
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City | INDIANAPOLIS
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State | IN
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Zip | 46241-5505
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Country | US
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Telephone | 317-781-3302
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Fax | 317-740-1018
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Provider Business Mailing Address
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Address Line | 12400 N MERIDIAN ST STE 160
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City | CARMEL
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State | IN
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Zip | 46032-4600
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Country | US
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Telephone | 317-781-3302
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Fax | 317-740-1018
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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 | 71003688A
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License Number State | IN
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