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General NPI Number Information
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NPI Number | 1174701437
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Entity Type | Organization
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Legal Business Name | NP HEALTHCARE
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 1795 S WASHINGTON ST SUITE 106
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City | NAPERVILLE
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State | IL
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Zip | 60565-2496
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Country | US
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Telephone | 630-527-0716
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Fax | 630-420-1757
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Provider Business Mailing Address
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Address Line | 1795 S WASHINGTON ST SUITE 106
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City | NAPERVILLE
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State | IL
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Zip | 60565-2496
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Country | US
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Telephone | 630-527-0716
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Fax | 630-420-1757
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Authorized Official
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Title or Position | PRESIDENT/NURSE PRACTITIONER
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Name | SUSAN C O'NEILL
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Credential | NP
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Telephone | 630-527-0716
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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 |
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License Number State | IL
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