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General NPI Number Information
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NPI Number | 1053185819
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Entity Type | Individual
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Provider Name | KATHRYN ARKIN
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 1755 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60622-5450
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Country | US
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Telephone | 773-697-8316
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 N CLARK ST APT 609
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City | CHICAGO
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State | IL
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Zip | 60614-5336
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Country | US
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Telephone | 301-875-7152
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209027480
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License Number State | IL
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