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General NPI Number Information
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NPI Number | 1194114223
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Entity Type | Individual
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Provider Name | IRINA FRENKEL MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 21660 W FIELD PKWY
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City | DEER PARK
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State | IL
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Zip | 60010-7265
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Country | US
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Telephone | 847-338-0339
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Fax |
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Provider Business Mailing Address
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Address Line | 21660 W FIELD PKWY
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City | DEER PARK
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State | IL
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Zip | 60010-7265
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Country | US
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Telephone | 847-338-0339
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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 | 377.001221
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License Number State | IL
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