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General NPI Number Information
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NPI Number | 1629928551
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Entity Type | Individual
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Provider Name | DENISE EXFORD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 9165 OTIS AVE 236-3
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-2306
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Country | US
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Telephone | 317-448-7433
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Fax | 317-218-9659
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Provider Business Mailing Address
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Address Line | 9165 OTIS AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-2306
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Country | US
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Telephone | 317-448-7433
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Fax | 317-218-9659
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 24018329
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License Number State | IN
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