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General NPI Number Information
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NPI Number | 1093555377
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Entity Type | Individual
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Provider Name | DEBRA NAWRACAJ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/25/2024
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 159 LOUISE CT
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City | WOOD DALE
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State | IL
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Zip | 60191-2063
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Country | US
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Telephone | 773-315-7162
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Fax |
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Provider Business Mailing Address
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Address Line | 159 LOUISE CT
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City | WOOD DALE
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State | IL
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Zip | 60191-2063
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Country | US
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Telephone | 773-315-7162
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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 | 209034298
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 041197803
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License Number State | IL
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