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General NPI Number Information
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NPI Number | 1407846637
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Entity Type | Individual
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Provider Name | KRISTINE J. BOLIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 13500 N MERIDIAN ST
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City | CARMEL
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State | IN
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Zip | 46032-1456
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Country | US
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Telephone | 317-582-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 13914 SOUTHEASTERN PKWY SUITE 314
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City | FISHERS
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State | IN
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Zip | 46037-7127
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Country | US
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Telephone | 317-872-1415
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Fax | 317-337-2571
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01048140A
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License Number State | IN
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