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General NPI Number Information
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NPI Number | 1316637192
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Entity Type | Individual
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Provider Name | LORENE MEYER APN, FNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 4009 N BROADWAY ST
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City | CHICAGO
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State | IL
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Zip | 60613-2110
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Country | US
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Telephone | 773-275-2586
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 MAPLE AVE APT 3
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City | EVANSTON
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State | IL
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Zip | 60201-6515
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Country | US
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Telephone | 224-475-5330
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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 | 209027394
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License Number State | IL
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