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General NPI Number Information
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NPI Number | 1124101308
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ST. FRANCIS
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 311 N OTTAWA ST
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City | JOLIET
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State | IL
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Zip | 60432-4048
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Country | US
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Telephone | 815-740-3815
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Fax | 815-740-3815
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Provider Business Mailing Address
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Address Line | 500 WILCOX ST NURSING
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City | JOLIET
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State | IL
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Zip | 60435-6169
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Country | US
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Telephone | 815-740-3815
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Fax | 815-740-4243
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH AND WELLNESS CEN
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Name | MARY MARAGOS
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Credential | MSN, APRN, FNP
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Telephone | 815-740-3815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State | IL
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