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General NPI Number Information
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NPI Number | 1114142346
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Entity Type | Individual
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Provider Name | JAIME LEIGH STELZER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1629 MEDICAL ARTS BLVD SUITE 200
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City | ANDERSON
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State | IN
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Zip | 46011-3454
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Country | US
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Telephone | 765-298-5439
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Fax | 765-298-4920
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST SUITE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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Country | US
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Telephone | 317-621-7468
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.092253
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 50-011927
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01066466A
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License Number State | IN
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