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General NPI Number Information
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NPI Number | 1548490972
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Entity Type | Individual
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Provider Name | ABIGAIL ELIZABETH KAERCHER DO
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Gender | Female
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 2000 W BOULEVARD
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City | KOKOMO
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State | IN
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Zip | 46902-6079
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Country | US
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Telephone | 765-776-3900
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Fax | 765-453-8050
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 58030906
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA057378
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 02007538A
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License Number State | IN
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