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General NPI Number Information
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NPI Number | 1194133645
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Entity Type | Individual
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Provider Name | DENISE M NEFF NP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 707 STATE STREET SUITE 3C
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City | NEWBURGH
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State | IN
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Zip | 47630-8947
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Country | US
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Telephone | 812-490-0301
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Fax |
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Provider Business Mailing Address
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Address Line | 707 STATE ST STE 3C
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City | NEWBURGH
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State | IN
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Zip | 47630-1185
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Country | US
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Telephone | 812-629-1800
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71005174A
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License Number State | IN
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