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General NPI Number Information
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NPI Number | 1386525640
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Entity Type | Organization
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Legal Business Name | PROHEALTH NP
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 21 BEACHWAY DR STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-8504
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Country | US
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Telephone | 317-429-0088
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Fax | 888-483-1030
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Provider Business Mailing Address
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Address Line | 21 BEACHWAY DR STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-8504
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Country | US
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Telephone | 317-429-0088
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Fax | 888-483-1030
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Authorized Official
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Title or Position | PRESIDENT/FAMILY NURSE PRACTITIONER
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Name | TAMMY A SARMIENTO
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Credential | FNP-C
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Telephone | 317-850-0585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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