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General NPI Number Information
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NPI Number | 1811228786
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Entity Type | Organization
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Legal Business Name | DAVID B. ENSLEY, MD, PC
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Dates
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Enumeration Date | 01/16/2010
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 7855 S EMERSON AVE SUITE D
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8668
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Country | US
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Telephone | 317-887-9800
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Fax | 317-887-9802
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Provider Business Mailing Address
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Address Line | 7855 S EMERSON AVE SUITE D
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8668
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Country | US
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Telephone | 317-887-9800
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Fax | 317-887-9802
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | BROOKE HAMILTON
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Credential |
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Telephone | 317-887-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01052067A
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License Number State | IN
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