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General NPI Number Information
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NPI Number | 1407859051
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Entity Type | Individual
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Provider Name | DANIEL C EBY D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 600 W. 13TH ST SUITE 200
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City | JASPER
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State | IN
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Zip | 47546-1883
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Country | US
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Telephone | 812-482-7441
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Fax | 812-482-7444
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Provider Business Mailing Address
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Address Line | 600 W. 13TH ST. SUITE 200
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City | JASPER
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State | IN
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Zip | 47546-1883
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Country | US
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Telephone | 812-482-7441
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Fax | 812-482-7444
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 02001643A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 02001643
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License Number State | IN
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