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General NPI Number Information
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NPI Number | 1306348040
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Entity Type | Individual
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Provider Name | TONI SUE VOLLMER FNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 1907 W SYCAMORE ST
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City | KOKOMO
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State | IN
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Zip | 46901-5148
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Country | US
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Telephone | 765-456-5360
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Fax |
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Provider Business Mailing Address
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Address Line | 10330 N MERIDIAN ST # 300
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1024
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71007818A
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License Number State | IN
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