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General NPI Number Information
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NPI Number | 1164183323
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Entity Type | Individual
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Provider Name | FELISA MAE RAME DAVID APN
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Gender | Female
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 7435 W TALCOTT AVE
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City | CHICAGO
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State | IL
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Zip | 60631-3707
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Country | US
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Telephone | 773-774-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 375 W DUNDEE RD APT 461
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City | WHEELING
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State | IL
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Zip | 60090-2987
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Country | US
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Telephone | 224-475-5865
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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 | 209022524
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209022524
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License Number State | IL
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