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General NPI Number Information
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NPI Number | 1730144510
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Entity Type | Individual
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Provider Name | EVAN R HIPLE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 630 3RD AVE SW SUITE 150
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City | CARMEL
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State | IN
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Zip | 46032-2086
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Country | US
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Telephone | 317-843-9760
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Fax | 317-843-9761
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Provider Business Mailing Address
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Address Line | 318 W TANSEY XING
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City | WESTFIELD
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State | IN
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Zip | 46074-9743
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Country | US
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Telephone | 317-566-1610
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12010447A
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License Number State | IN
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