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General NPI Number Information
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NPI Number | 1740710227
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Entity Type | Individual
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Provider Name | ANDREA KLINE PURPURA MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 1701 N SENATE BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1239
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Country | US
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Telephone | 317-962-3886
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Fax | 317-963-5492
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Provider Business Mailing Address
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Address Line | 1701 N SENATE BLVD # AG012
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1239
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Country | US
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Telephone | 317-962-3525
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Fax | 317-963-5394
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01080755A
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License Number State | IN
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Taxonomy #2
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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 | 11019511A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.139279
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License Number State | OH
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