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General NPI Number Information
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NPI Number | 1184506180
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Entity Type | Individual
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Provider Name | COURTNEY BROOKE LEAR FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1033 INDIANAPOLIS RD STE 110
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City | GREENCASTLE
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State | IN
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Zip | 46135-2407
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Country | US
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Telephone | 765-653-8453
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 SOUTHFIELD DR STE 1370
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City | PLAINFIELD
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State | IN
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Zip | 46168-4300
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Country | US
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Telephone | 317-837-5566
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71016828A
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License Number State | IN
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