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General NPI Number Information
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NPI Number | 1497933394
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Entity Type | Individual
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Provider Name | TRACY M TEIPEN R.N.
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Gender | Female
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 9995 ALLISONVILLE RD
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City | FISHERS
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State | IN
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Zip | 46038-2006
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Country | US
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Telephone | 317-442-1093
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N. UNIVERSITY BLVD. UH 1451
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City | INDPLS
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State | IN
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Zip | 46202
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Country | US
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Telephone | 317-278-1849
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 88003402A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28143192A
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License Number State | IN
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