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General NPI Number Information
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NPI Number | 1336603174
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Entity Type | Individual
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Provider Name | JESSICA MURGLIN
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Gender | Female
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 12/10/2022
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Provider Practice Location Address
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Address Line | 745 FLETCHER DR STE 103
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City | ELGIN
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State | IL
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Zip | 60123-4748
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Country | US
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Telephone | 847-620-6077
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Fax | 224-783-5665
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone | 847-390-5900
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209019134
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License Number State | IL
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