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General NPI Number Information
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NPI Number | 1972859452
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Entity Type | Individual
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Provider Name | COURTNEY B. CORTEZ
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Gender | Female
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 12400 N MERIDIAN STE 100 SUITE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250
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Country | US
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Telephone | 317-559-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 12400 N MERIDIAN STE 100 SUITE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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Country | US
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Telephone | 317-559-3320
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 71004263A
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License Number State | IN
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