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General NPI Number Information
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NPI Number | 1174058564
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Entity Type | Individual
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Provider Name | JOI HENRY DNP, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE STE 424
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City | CHICAGO
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State | IL
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Zip | 60602-3844
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Country | US
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Telephone | 312-279-9981
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Fax | 312-279-9981
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Provider Business Mailing Address
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Address Line | 1506 E ROOSEVELT RD
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City | WHEATON
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State | IL
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Zip | 60187-6806
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Country | US
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Telephone | 630-221-1400
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Fax | 630-221-1411
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209.024578
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 309.018490
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License Number State | IL
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