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General NPI Number Information
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NPI Number | 1235043274
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Entity Type | Individual
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Provider Name | ELLA OBERWEISER
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 5155 PENNWOOD DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1585
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Country | US
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Telephone | 317-571-1042
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Fax |
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Provider Business Mailing Address
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Address Line | 11549 BUCKSKIN DR
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City | ZIONSVILLE
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State | IN
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Zip | 46077-4418
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Country | US
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Telephone | 317-764-0088
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 26-2848869
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License Number State | IN
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