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General NPI Number Information
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NPI Number | 1205743572
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Entity Type | Individual
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Provider Name | APRIL CARLSON
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 1321 N STATE ST
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City | MARENGO
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State | IL
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Zip | 60152-2200
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Country | US
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Telephone | 815-261-8288
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Fax |
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Provider Business Mailing Address
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Address Line | 951 EMERALD DR
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City | PINGREE GROVE
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State | IL
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Zip | 60140-9112
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Country | US
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Telephone | 773-981-2023
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041401403
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License Number State | IL
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