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General NPI Number Information
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NPI Number | 1871385369
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Entity Type | Individual
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Provider Name | DANYELL MARIE JOHNSON PERSONAL CARE SERV.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 556 LYNN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-3812
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Country | US
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Telephone | 317-945-0683
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Fax | 219-264-2074
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Provider Business Mailing Address
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Address Line | 556 LYNN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-3812
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Country | US
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Telephone | 317-945-0683
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Fax | 219-264-2074
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 25-018776-1
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License Number State | IN
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