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General NPI Number Information
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NPI Number | 1578433363
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Entity Type | Individual
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Provider Name | REANNA UNTENER DC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 9450 N MERIDIAN ST # 205
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1326
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Country | US
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Telephone | 317-991-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 2076 ROWENA LN
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City | WESTFIELD
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State | IN
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Zip | 46074-7993
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Country | US
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Telephone | 317-991-5505
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08003549A
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License Number State | IN
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