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General NPI Number Information
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NPI Number | 1437638848
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Entity Type | Individual
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Provider Name | JILLIAN MARIE SINCLAIR
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Gender | Female
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 100 HOSPITAL LN STE 100
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City | DANVILLE
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State | IN
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Zip | 46122-1993
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Country | US
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Telephone | 317-745-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 650 AUSTRIAN WAY
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City | AVON
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State | IN
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Zip | 46123-7461
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Country | US
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Telephone | 219-869-3590
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Fax |
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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 | 71008210A
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License Number State | IN
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