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General NPI Number Information
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NPI Number | 1326639071
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Entity Type | Organization
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Legal Business Name | BRIA NURSE PRACTITIONER CONSULTANTS INC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 5801 S CASS AVE
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City | WESTMONT
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State | IL
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Zip | 60559-2397
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Country | US
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Telephone | 630-884-1024
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Fax | 630-303-9810
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Provider Business Mailing Address
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Address Line | PO BOX 878
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City | WESTMONT
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State | IL
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Zip | 60559-0878
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Country | US
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Telephone | 630-884-0124
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Fax | 630-303-9810
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Authorized Official
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Title or Position | ADULT NURSE PRACTITIONER
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Name | ANILTTA ALEX
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Credential | APRN-FPA
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Telephone | 630-884-0124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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