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General NPI Number Information
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NPI Number | 1316802358
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Entity Type | Individual
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Provider Name | JAN PAAUWE WEUST
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 10858 E STATE ROAD 54
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City | BLOOMFIELD
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State | IN
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Zip | 47424-6069
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Country | US
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Telephone | 812-400-0067
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Fax |
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Provider Business Mailing Address
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Address Line | 131 S 24TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47803-1803
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Country | US
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Telephone | 812-243-0174
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7101747A
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License Number State | IN
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