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General NPI Number Information
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NPI Number | 1376527192
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Entity Type | Individual
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Provider Name | JEFFERY PIERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 10/09/2013
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Provider Practice Location Address
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Address Line | 12188B N MERIDIAN ST SUITE 250
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City | CARMEL
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State | IN
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Zip | 46032-4840
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Country | US
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Telephone | 317-706-2361
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Fax | 317-706-2362
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Provider Business Mailing Address
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Address Line | 12188B N MERIDIAN ST SUITE 250
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City | CARMEL
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State | IN
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Zip | 46032-4840
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Country | US
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Telephone | 317-706-2361
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Fax | 317-706-2362
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01039944
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License Number State | IN
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