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General NPI Number Information
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NPI Number | 1073578308
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Entity Type | Individual
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Provider Name | JO ESTES NP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 1700 DIVIDEND DR
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City | LOGANSPORT
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State | IN
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Zip | 46947-1572
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Country | US
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Telephone | 574-722-7407
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Fax | 844-397-1308
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Provider Business Mailing Address
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Address Line | 8003 CASTLEWAY DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1946
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Country | US
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Telephone | 317-576-1335
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Fax | 317-576-1335
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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 | 71001098A
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License Number State | IN
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