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General NPI Number Information
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NPI Number | 1093981342
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Entity Type | Individual
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Provider Name | MARK D AYERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 575 RILEY HOSPITAL DR STE MSA2
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5272
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Country | US
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Telephone | 317-944-8906
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Fax | 317-944-9330
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Provider Business Mailing Address
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Address Line | PO BOX 719094 PO BOX 719094
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City | CHICAGO
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State | IL
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Zip | 60677-9318
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Country | US
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Telephone | 317-777-6435
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Fax | 317-777-6644
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 01069885
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License Number State | IN
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