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General NPI Number Information
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NPI Number | 1932802865
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Entity Type | Individual
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Provider Name | EMILY A MADISON FNP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 2456 E 146TH ST
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City | CARMEL
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State | IN
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Zip | 46033-7712
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Country | US
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Telephone | 463-223-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 2456 E 146TH ST
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City | CARMEL
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State | IN
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Zip | 46033-7712
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F03230616
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71013834A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28256766A
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License Number State | IN
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