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General NPI Number Information
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NPI Number | 1992104707
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Entity Type | Individual
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Provider Name | STEPHANIE HERRINGTON
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Gender | Female
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 16433 VALHALLA DR
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City | NOBLESVILLE
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State | IN
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Zip | 46060-7174
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Country | US
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Telephone | 386-756-4395
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Fax | 386-944-7202
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Provider Business Mailing Address
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Address Line | 15647 BELLEVUE CIR
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City | FISHERS
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State | IN
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Zip | 46037-4600
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Country | US
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Telephone | 832-651-3747
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05011484A
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License Number State | IN
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