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General NPI Number Information
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NPI Number | 1922535251
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Entity Type | Individual
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Provider Name | AMBER J PERRY FNP
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Gender | Female
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5550 S EAST ST STE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-1991
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Country | US
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Telephone | 317-534-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 55 N MILFORD DR
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City | FRANKLIN
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State | IN
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Zip | 46131-7308
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Country | US
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Telephone | 317-739-4848
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Fax | 317-346-4062
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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 | 28207071A
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License Number State | IN
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