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General NPI Number Information
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NPI Number | 1235268970
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Entity Type | Individual
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Provider Name | DAWN MARIE ELLINGTON MSN, FNP-C, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 8335 NAAB RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1919
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Country | US
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Telephone | 317-338-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 12315 HANCOCK ST STE 24
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City | CARMEL
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State | IN
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Zip | 46032-5885
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Country | US
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Telephone | 317-708-3732
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71014160A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 36000661A
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License Number State | IN
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