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General NPI Number Information
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NPI Number | 1598583577
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Entity Type | Individual
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Provider Name | LORI ANN WEIR RN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1111 RONALD REAGAN PKWY
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City | AVON
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State | IN
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Zip | 46123-7085
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Country | US
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Telephone | 317-217-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 6028 BRENTWOOD TRCE
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City | BROWNSBURG
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State | IN
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Zip | 46112-7045
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Country | US
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Telephone | 217-304-7257
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28285523A
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License Number State | IN
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