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General NPI Number Information
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NPI Number | 1083509723
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Entity Type | Individual
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Provider Name | ISABELLA ANNE CASE DDS
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 3195 W FAIRVIEW RD STE B
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City | GREENWOOD
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State | IN
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Zip | 46142-8499
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Country | US
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Telephone | 317-887-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 2645 ALLEN AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-5145
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Country | US
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Telephone | 260-449-5663
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12014767A
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License Number State | IN
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