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General NPI Number Information
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NPI Number | 1316757354
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Entity Type | Individual
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Provider Name | SARAH MICHELLE BRAND
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Gender | Female
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Dates
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Enumeration Date | 01/11/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 6411 S EAST ST STE B
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-2737
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Country | US
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Telephone | 317-965-0561
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Fax |
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Provider Business Mailing Address
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Address Line | 101 HALLDALE DR
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City | WHITELAND
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State | IN
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Zip | 46184-7005
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28254940A
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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 | 71016442A
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License Number State | IN
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