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General NPI Number Information
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NPI Number | 1194832907
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Entity Type | Individual
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Provider Name | LAURA S HANELINE MD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 705 RILEY HOSPITAL DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5109
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Country | US
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Telephone | 317-274-4779
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Fax | 317-948-9806
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Provider Business Mailing Address
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Address Line | PO BOX 719094
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City | CHICAGO
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State | IL
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Zip | 60677-9318
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Country | US
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Telephone | 317-777-6435
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Fax | 317-777-6644
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 01041475
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License Number State | IN
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