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General NPI Number Information
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NPI Number | 1669037560
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Entity Type | Individual
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Provider Name | ISHMAIL ABASS SILLAH NP
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Gender | Male
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1701 N SENATE BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1239
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Country | US
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Telephone | 317-963-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 355 W 16TH ST STE 5100
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2274
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Country | US
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Telephone | 317-963-1300
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 28298460A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN188867
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 7107165A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 226021
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 7107165A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 28298460A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 71017165A
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License Number State | IN
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