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General NPI Number Information
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NPI Number | 1205103835
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Entity Type | Individual
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Provider Name | DEBBIE ANN MABLE NP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 1471 E. 84TH PLACE
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 219-769-8630
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Fax | 219-769-8633
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Provider Business Mailing Address
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Address Line | 1471 E. 84TH PLACE
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 219-769-8630
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Fax | 219-769-8633
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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 | 28139356A
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License Number State | IN
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