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General NPI Number Information
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NPI Number | 1285413666
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Entity Type | Individual
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Provider Name | ALLISON DUDMAN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 400 W NORTHFIELD DR
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City | BROWNSBURG
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State | IN
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Zip | 46112-8122
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Country | US
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Telephone | 317-858-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 421 E MARKET ST APT 520
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-2867
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26030471A
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License Number State | IN
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