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General NPI Number Information
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NPI Number | 1083801153
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Entity Type | Individual
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Provider Name | NICOLE BINDL NP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 3800 W 203RD ST STE 204
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1185
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Country | US
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Telephone | 708-852-2641
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Fax | 708-503-3260
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Provider Business Mailing Address
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Address Line | 35318 EAGLE WAY
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City | CHICAGO
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State | IL
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Zip | 60678-1353
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-8133
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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 | 71008905A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 041320143
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 156646-30
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5991-33
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 041320143
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209012225
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License Number State | IL
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