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General NPI Number Information
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NPI Number | 1285318568
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Entity Type | Individual
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Provider Name | STEPHANIE JO WELDON NP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 8244 E US HIGHWAY 36
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City | AVON
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State | IN
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Zip | 46123-9575
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Country | US
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Telephone | 317-272-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 HAYWARD AVE APT H
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City | BROWNSBURG
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State | IN
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Zip | 46112-0139
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Country | US
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Telephone | 317-517-6221
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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 | 71014002A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71014002A
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License Number State | IN
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