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General NPI Number Information
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NPI Number | 1760401368
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Entity Type | Individual
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Provider Name | RHONDALYNN J SEARS NP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 1101 GLENDALE BLVD SUITE 101
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City | VALPARAISO
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State | IN
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Zip | 46383-3767
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Country | US
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Telephone | 219-462-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 GLENDALE BLVD SUITE 101
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City | VALPARAISO
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State | IN
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Zip | 46383-3767
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Country | US
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Telephone | 219-462-0555
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28110137A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 71000484A
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License Number State | IN
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