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General NPI Number Information
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NPI Number | 1073147237
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Entity Type | Individual
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Provider Name | ALEXIS WERNSMAN APN
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Gender | Female
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1052 ML KING DRIVE, SUITE 2
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City | CENTRALIA
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State | IL
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Zip | 62801-3002
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Country | US
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Telephone | 618-436-5410
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Fax | 618-436-8063
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Provider Business Mailing Address
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Address Line | PO BOX 25228
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City | DECATUR
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State | IL
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Zip | 62525-5228
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Country | US
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Telephone | 217-329-3232
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209020907
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License Number State | IL
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