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General NPI Number Information
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NPI Number | 1841726619
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Entity Type | Individual
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Provider Name | NATHANIEL JOHN WEBSTER FNP
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Gender | Male
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 901 SHELBY ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-1151
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Country | US
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Telephone | 317-957-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 MEADOWS DR STE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-3114
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Country | US
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Telephone | 317-957-2000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71007246A
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License Number State | IN
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