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NPI 1285266056

NPI 1285266056 : ADRI DURANT MD : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1285266056
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    Entity Type          |    Individual 
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    Provider Name        |    ADRI DURANT MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/10/2020
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    Last Update Date     |    06/29/2025
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Provider Practice Location Address
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    Address Line         |    550 UNIVERSITY BLVD 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46202-5149
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    Country              |    US
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    Telephone            |    317-948-2589
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    535 BARNHILL DR 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46202-5116
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    Country              |    US
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    Telephone            |    317-278-0221
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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        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    64535
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    01096759A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    01096759B
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    License Number State |    IN
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