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General NPI Number Information
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NPI Number | 1720287139
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Entity Type | Individual
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Provider Name | RICK F NELSON MD.,PHD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 705 RILEY HOSPITAL DR SUITE 0860
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5109
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Country | US
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Telephone | 317-278-1259
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Fax | 317-278-3743
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | R8142
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01074249A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 40382
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | 01074249A
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License Number State | IN
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