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General NPI Number Information
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NPI Number | 1215751177
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Entity Type | Individual
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Provider Name | DEVIN SCOTT BRATCHER DNP, FNP-BC, APRN
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Gender | Male
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 5999 NEW WILKE RD STE 200
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-4502
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Country | US
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Telephone | 847-618-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE. SUITE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 847-570-2040
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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 | 209.030827
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209030827
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License Number State | IL
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