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General NPI Number Information
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NPI Number | 1598444846
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Entity Type | Individual
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Provider Name | EMILY METZINGER FNP
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Gender | Female
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 12404 LIMA CROSSING DR
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City | FORT WAYNE
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State | IN
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Zip | 46818-0202
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Country | US
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Telephone | 260-458-3740
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Fax |
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Provider Business Mailing Address
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Address Line | 10833 OAK CHASE CT
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City | FORT WAYNE
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State | IN
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Zip | 46845-9431
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Country | US
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Telephone | 260-437-8121
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71014093A
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License Number State | IN
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