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General NPI Number Information
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NPI Number | 1336501824
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Entity Type | Individual
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Provider Name | ERNEST EMERY AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 903 COMMERCE DR STE 333
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City | OAK BROOK
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State | IL
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Zip | 60523-8723
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Country | US
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Telephone | 708-246-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 903 COMMERCE DR STE 333
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City | OAK BROOK
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State | IL
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Zip | 60523-8723
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Country | US
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Telephone | 708-246-3627
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 209.013903
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RXN.0106317-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 277-001699
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209013903
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 289233
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License Number State | AZ
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