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General NPI Number Information
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NPI Number | 1992074868
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Entity Type | Individual
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Provider Name | AMANDA VUJOVICH DPM
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Gender | Female
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 12425 OLD MERIDIAN ST STE A2
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City | CARMEL
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State | IN
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Zip | 46032-8725
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Country | US
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Telephone | 317-564-0958
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Fax | 317-564-0961
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Provider Business Mailing Address
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Address Line | 5471 GEORGETOWN RD STE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-5794
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Country | US
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Telephone | 317-297-0661
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Fax | 317-328-6338
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 07001171A
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License Number State | IN
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