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General NPI Number Information
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NPI Number | 1548130784
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Entity Type | Individual
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Provider Name | EMILY PAUL NP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 6621 OLVEY ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-3045
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Country | US
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Telephone | 765-278-8885
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Fax |
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Provider Business Mailing Address
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Address Line | 716 LAUREL LN
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City | FORTVILLE
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State | IN
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Zip | 46040-1139
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 71017228A
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License Number State | IN
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