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General NPI Number Information
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NPI Number | 1447330352
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Entity Type | Individual
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Provider Name | JOHN H. SEXAUER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6450 W 10TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46214-6500
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Country | US
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Telephone | 317-241-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 240 VERNON LN
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City | BROWNSBURG
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State | IN
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Zip | 46112-1347
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Country | US
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Telephone | 317-852-6075
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 12008328A
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License Number State | IN
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