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General NPI Number Information
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NPI Number | 1235827239
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Entity Type | Individual
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Provider Name | ADAM ISON FNP-C
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Gender | Male
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 2506 WILLOWBROOK PKWY STE 300
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1500
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Country | US
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Telephone | 317-574-1254
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Fax | 317-674-0060
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Provider Business Mailing Address
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Address Line | 4313 E 42ND ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-4458
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Country | US
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Telephone | 812-621-2209
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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 | 71013734A
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License Number State | IN
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