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General NPI Number Information
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NPI Number | 1417742107
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Entity Type | Individual
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Provider Name | TERESA HALEY-BOND STARNES FNP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 8325 E SOUTHPORT RD STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46259-6834
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Country | US
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Telephone | 317-862-6609
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Fax |
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Provider Business Mailing Address
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Address Line | 421 N EMERSON AVE
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City | GREENWOOD
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State | IN
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Zip | 46143-9704
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71016698A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 28264887A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4244833
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License Number State | IN
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