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General NPI Number Information
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NPI Number | 1093140881
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Entity Type | Individual
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Provider Name | SARAH VOLL ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 1901 W HARRISON ST SUITE #3620- CARDIOLOGY
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-3034
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Fax |
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Provider Business Mailing Address
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Address Line | 1144 WASHINGTON BLVD #2
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City | OAK PARK
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State | IL
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Zip | 60302-5400
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Country | US
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Telephone | 630-247-2345
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.332714
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 209.010480
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License Number State | IL
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