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General NPI Number Information
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NPI Number | 1245191196
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Entity Type | Individual
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Provider Name | ELOURDES PIERRE PAUL
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 2628 FOX HARBOUR LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-3823
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Country | US
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Telephone | 754-779-2810
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Fax |
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Provider Business Mailing Address
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Address Line | 2628 FOX HARBOUR LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-3823
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Country | US
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Telephone | 754-779-2810
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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 | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 3747PI801X
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License Number State | IN
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