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General NPI Number Information
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NPI Number | 1245169309
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Entity Type | Individual
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Provider Name | MARIA LYNN NOWASKIE
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Gender | Female
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 420 N 26TH ST
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City | LAFAYETTE
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State | IN
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Zip | 47904-2848
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Country | US
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Telephone | 765-838-6885
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Fax |
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Provider Business Mailing Address
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Address Line | 7575 AMERICUS CT
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City | LAFAYETTE
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State | IN
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Zip | 47905-9721
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Country | US
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Telephone | 765-838-6885
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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 | 28263968A
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License Number State | IN
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