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General NPI Number Information
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NPI Number | 1861305484
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Entity Type | Organization
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Legal Business Name | AVALON INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 7818 REYNOLDS RD
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City | CAMBY
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State | IN
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Zip | 46113-9311
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Country | US
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Telephone | 317-296-4322
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Fax | 317-854-9088
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Provider Business Mailing Address
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Address Line | 7818 REYNOLDS RD
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City | CAMBY
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State | IN
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Zip | 46113-9311
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Country | US
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Telephone | 317-296-4322
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Fax | 317-854-9088
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | ANGIE NICOLE BROWN
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Credential | NP
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Telephone | 317-903-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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