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General NPI Number Information
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NPI Number | 1083755979
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Entity Type | Individual
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Provider Name | SANDRA K KAY RN, NP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 1801 N SENATE BLVD SUITE 535
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1228
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Country | US
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Telephone | 317-396-1300
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Fax | 317-396-1346
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Provider Business Mailing Address
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Address Line | 8333 NAAB RD SUITE 250
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5924
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Country | US
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Telephone | 317-396-1300
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Fax | 317-396-1346
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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 | 71001550A
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License Number State | IN
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