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General NPI Number Information
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NPI Number | 1780495952
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Entity Type | Individual
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Provider Name | JADA STINSON
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 7862 E 96TH ST
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City | FISHERS
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State | IN
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Zip | 46037-9629
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Country | US
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Telephone | 463-255-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 HOYT AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-1102
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Country | US
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Telephone | 812-461-7990
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12014802A
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License Number State | IN
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