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General NPI Number Information
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NPI Number | 1326453713
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Entity Type | Individual
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Provider Name | MICHELLE CARLY GARRETT APN-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 757 PARK AVE W STE 2850
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2558
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Country | US
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Telephone | 847-657-1900
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Fax | 847-733-5041
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE # 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-982-3175
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Fax | 847-982-3394
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209011471
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License Number State | IL
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