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General NPI Number Information
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NPI Number | 1104250059
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Entity Type | Individual
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Provider Name | PAMELA ANN TABLER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 250 WATER STONE CIR
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City | JOLIET
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State | IL
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Zip | 60431-8313
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Country | US
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Telephone | 815-460-3299
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Fax | 815-460-3296
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Provider Business Mailing Address
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Address Line | 8034 BLUESTEM AVE
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City | JOLIET
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State | IL
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Zip | 60431-4000
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Country | US
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Telephone | 815-325-1882
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Fax | 815-460-3296
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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 | AWAITING LICENSE#
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License Number State | IL
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