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General NPI Number Information
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NPI Number | 1821076530
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Entity Type | Individual
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Provider Name | BARBARA J WALLING FNP
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Gender | Female
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9560 E 59TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-1010
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Country | US
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Telephone | 317-377-1700
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Fax | 317-377-0464
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Provider Business Mailing Address
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Address Line | 10216 SEABREEZE WAY
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-9721
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Country | US
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Telephone | 317-576-8035
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Fax | 317-377-0464
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71000016A
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License Number State | IN
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