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General NPI Number Information
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NPI Number | 1063496701
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Entity Type | Individual
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Provider Name | DIAN LYNN COVERT NP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 8970 S MERIDIAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46217-5031
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Country | US
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Telephone | 317-882-0335
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Fax |
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Provider Business Mailing Address
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Address Line | 1766 MAYNARD DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-5020
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Country | US
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Telephone | 317-784-5996
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71000720A
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License Number State | IN
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