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General NPI Number Information
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NPI Number | 1114632841
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Entity Type | Individual
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Provider Name | S. ALEXANDER KEMERY PHD, RN
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Gender | Male
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 26 N ARSENAL AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46201-3808
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Country | US
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Telephone | 317-632-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 E WASHINGTON ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46201-3847
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Country | US
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Telephone | 317-696-3622
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28176786C
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.508444
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71014776A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28176786A
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License Number State | IN
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