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General NPI Number Information
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NPI Number | 1952329252
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Entity Type | Individual
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Provider Name | KATHRYN PAIGE BRINEGAR NP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 395 WESTFIELD RD RIVERVIEW HOSPITAL
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City | NOBLESVILLE
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State | IN
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Zip | 46060-1425
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Country | US
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Telephone | 317-776-7407
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Fax | 317-776-7361
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Provider Business Mailing Address
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Address Line | 3333 KESSLER BLVD NORTH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-1888
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Country | US
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Telephone | 317-328-2269
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 28129606A
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License Number State | IN
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