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General NPI Number Information
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NPI Number | 1669363057
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Entity Type | Individual
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Provider Name | ROBERT AOZORA PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 1522 W MORRIS ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46221-1629
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Country | US
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Telephone | 317-957-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 E 3RD ST
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City | BLOOMINGTON
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State | IN
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Zip | 47401-3737
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Country | US
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Telephone | 612-223-1166
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71017041B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71017041A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 28276756A
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License Number State | IN
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