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General NPI Number Information
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NPI Number | 1265154900
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Entity Type | Organization
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Legal Business Name | PROMPTNP HEALTHCARE PLLC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 125 S 4TH ST
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City | OREGON
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State | IL
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Zip | 61061-1609
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Country | US
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Telephone | 815-222-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 7824 MCNAIR RD
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City | ROCKFORD
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State | IL
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Zip | 61102-5622
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Country | US
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Telephone | 815-762-0244
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | JUSTINE BEAMAN
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Credential | FNP-BC
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Telephone | 815-762-0244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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