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General NPI Number Information
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NPI Number | 1699655993
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Entity Type | Individual
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Provider Name | JAMIE DAWN KEPLINGER
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Gender | Female
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 2001 W 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1902
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Country | US
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Telephone | 317-338-2269
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Fax |
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Provider Business Mailing Address
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Address Line | 10480 MOSS WOOD DR
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City | FISHERS
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State | IN
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Zip | 46038-2071
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Country | US
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Telephone | 317-338-2269
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 320036329
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License Number State | IN
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