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General NPI Number Information
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NPI Number | 1053045021
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Entity Type | Individual
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Provider Name | NICOLE MESSER
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Gender | Female
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 8081 TOWNSHIP LINE RD STE 203
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2189
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Country | US
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Telephone | 317-415-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 8081 TOWNSHIP LINE RD STE 203
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2189
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Country | US
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Telephone |
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 28223310A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 71012923A
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License Number State | IN
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