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General NPI Number Information
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NPI Number | 1033392857
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Entity Type | Individual
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Provider Name | JOSETTE DUTCHER APRN-BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 27655 ILLINOIS ROUTE 120
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City | LAKEMOOR
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State | IL
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Zip | 60051-1293
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Country | US
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Telephone | 815-458-1500
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Fax | 815-458-1516
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Provider Business Mailing Address
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Address Line | 27655 ILLINOIS ROUTE 120
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City | LAKEMOOR
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State | IL
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Zip | 60051-1293
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Country | US
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Telephone | 815-458-1500
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Fax | 815-458-1516
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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 | 277.002108
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License Number State | IL
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