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General NPI Number Information
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NPI Number | 1174559199
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Entity Type | Individual
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Provider Name | JEREMY DANIEL FERRIS D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 12953 PUBLISHERS DR STE 300
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City | FISHERS
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State | IN
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Zip | 46038-8801
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Country | US
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Telephone | 317-578-7775
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Fax | 317-578-7784
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Provider Business Mailing Address
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Address Line | 12953 PUBLISHERS DR STE 300
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City | FISHERS
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State | IN
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Zip | 46038-8801
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Country | US
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Telephone | 317-578-7775
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Fax | 317-578-7784
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002047A
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License Number State | IN
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