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NPI 1609364959

NPI 1609364959 : ERIC WHELCHEL-HALL DO : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1609364959
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC WHELCHEL-HALL DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/23/2018
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    9650 E WASHINGTON ST STE 100 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46229-3032
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    Country              |    US
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    Telephone            |    317-890-5500
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    Fax                  |    317-890-5566
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Provider Business Mailing Address
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    Address Line         |    250 N SHADELAND AVE 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-4959
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    02006448A
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    License Number State |    IN
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Taxonomy #2
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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 |    IN
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