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General NPI Number Information
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NPI Number | 1194547976
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Entity Type | Individual
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Provider Name | KEIMIA MEHRABIAN FNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1725 W HARRISON ST STE 1159
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City | CHICAGO
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State | IL
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Zip | 60612-3883
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Country | US
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Telephone | 312-942-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 W SAINT PAUL AVE APT 209
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City | CHICAGO
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State | IL
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Zip | 60647-5342
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Country | US
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Telephone | 832-294-8742
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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 | 209030620
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License Number State | IL
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