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General NPI Number Information
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NPI Number | 1710649496
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Entity Type | Individual
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Provider Name | BROOKE RATCLIFFE NP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2021
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 720 ESKENAZI AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5187
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Country | US
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Telephone | 317-880-7666
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Fax | 317-880-0448
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Provider Business Mailing Address
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Address Line | PO BOX 637764
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City | CINCINNATI
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State | OH
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Zip | 45263-7764
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Country | US
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Telephone | 317-880-3939
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71013378A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71013378A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 71013378A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 28221230C
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License Number State | IN
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