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General NPI Number Information
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NPI Number | 1174481642
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Entity Type | Organization
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Legal Business Name | JOSEFINA RAMOS LARDUET
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2859 S PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60623-5095
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Country | US
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Telephone | 234-225-4891
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Fax |
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Provider Business Mailing Address
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Address Line | 4842 ANTIOCH DR
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City | ROCKFORD
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State | IL
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Zip | 61109-3187
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Country | US
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Telephone | 815-558-9094
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JOSEFINA RAMOS LARDUET
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Credential | NP
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Telephone | 815-558-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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