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NPI 1083228399

NPI 1083228399 : APRIL DONALD FNP : LA PORTE, IN

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General NPI Number Information
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    NPI Number           |    1083228399
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    Entity Type          |    Individual 
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    Provider Name        |    APRIL DONALD FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/03/2020
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    Last Update Date     |    09/03/2020
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Provider Practice Location Address
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    Address Line         |    204 LEGACY PLZ W 
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    City                 |    LA PORTE
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    State                |    IN
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    Zip                  |    46350-5285
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    Country              |    US
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    Telephone            |    219-476-7246
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2500 CALUMET AVE STE E 
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    City                 |    VALPARAISO
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    State                |    IN
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    Zip                  |    46383-3735
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    Country              |    US
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    Telephone            |    219-286-6790
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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       |    28184421A
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    License Number State |    IN
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