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General NPI Number Information
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NPI Number | 1225613565
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Entity Type | Individual
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Provider Name | SANDRA MARIE CEBRIJ FNP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 3815 HIGHLAND AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1500
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Country | US
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Telephone | 630-275-5759
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Fax |
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Provider Business Mailing Address
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Address Line | 589 N GERI CT
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City | PALATINE
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State | IL
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Zip | 60067-2346
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Country | US
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Telephone | 847-899-0960
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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 | 209-023317
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License Number State | IL
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