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NPI 1679063077

NPI 1679063077 : DEVIN JAMES CONWAY MD, MPH : CARMEL, IN

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General NPI Number Information
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    NPI Number           |    1679063077
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    Entity Type          |    Individual 
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    Provider Name        |    DEVIN JAMES CONWAY MD, MPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/11/2018
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    Last Update Date     |    03/06/2025
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Provider Practice Location Address
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    Address Line         |    201 PENNSYLVANIA PKWY STE 100 
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    City                 |    CARMEL
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    State                |    IN
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    Zip                  |    46280-1393
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    Country              |    US
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    Telephone            |    317-944-9400
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    Fax                  |    317-968-1098
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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        |    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 |    CT
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    01093776A
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    License Number State |    IN
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