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General NPI Number Information
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NPI Number | 1225173883
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Entity Type | Individual
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Provider Name | DONALD H HULSEY OD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10610 N PENNSYLVANIA ST STE B
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City | INDIANAPOLIS
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State | IN
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Zip | 46280-2000
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Country | US
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Telephone | 317-844-6269
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Fax | 317-815-7567
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Provider Business Mailing Address
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Address Line | 452 MACY WAY
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City | GREENWOOD
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State | IN
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Zip | 46142-7483
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Country | US
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Telephone | 317-888-8508
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002572A
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License Number State | IN
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