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General NPI Number Information
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NPI Number | 1548547490
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Entity Type | Individual
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Provider Name | DAVID GERARD VANREMORTEL ANP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 11/07/2011
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Provider Practice Location Address
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Address Line | 2085 ACORN BLVD
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City | FRANKLIN
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State | IN
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Zip | 46131-7306
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Country | US
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Telephone | 317-346-2273
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Fax | 317-738-7850
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Provider Business Mailing Address
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Address Line | 2085 ACORN BLVD
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City | FRANKLIN
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State | IN
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Zip | 46131-7306
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Country | US
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Telephone | 317-346-2273
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Fax | 317-738-7850
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 28139858A
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License Number State | IN
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