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General NPI Number Information
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NPI Number | 1023647443
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Entity Type | Individual
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Provider Name | SHARON OBRIEN DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 1413 W FILLMORE ST APT 2
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City | CHICAGO
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State | IL
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Zip | 60607-4716
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Country | US
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Telephone | 719-684-5678
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Fax |
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Provider Business Mailing Address
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Address Line | 21017 STRATFORD CT
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City | MOKENA
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State | IL
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Zip | 60448-2015
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Country | US
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Telephone | 719-684-5678
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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 | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | 041424785
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License Number State | IL
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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 | 209.022163041.424785
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License Number State | IL
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