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General NPI Number Information
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NPI Number | 1386813251
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Entity Type | Individual
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Provider Name | CHAD S PRIEST RN
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Gender | Male
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 300 N MERIDIAN ST SUITE 2700
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1755
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Country | US
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Telephone | 317-237-1349
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Fax | 317-237-1000
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Provider Business Mailing Address
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Address Line | 300 N MERIDIAN ST SUITE 2700
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1755
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Country | US
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Telephone | 317-237-1349
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Fax | 317-237-1000
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 28145096A
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License Number State | IN
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