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General NPI Number Information
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NPI Number | 1992378020
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Entity Type | Individual
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Provider Name | SARA JONES NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 3400 LAFAYETTE RD STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-1147
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Country | US
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Telephone | 317-291-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 7733 RIVER RD APT D
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-2933
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Country | US
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Telephone | 317-508-5639
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28222839A
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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 | 71011413A
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License Number State | IN
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