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General NPI Number Information
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NPI Number | 1992352074
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Entity Type | Individual
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Provider Name | MAI SUNG CHIN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 7855 S EMERSON AVE STE D
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8669
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Country | US
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Telephone | 301-442-6914
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Fax | 317-891-5900
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Provider Business Mailing Address
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Address Line | 7855 S EMERSON AVE STE D
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8669
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Country | US
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Telephone | 317-821-7800
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Fax | 317-891-5900
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71009301A
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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 | 28223255C
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License Number State | IN
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