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General NPI Number Information
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NPI Number | 1346044955
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Entity Type | Individual
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Provider Name | KASSI ANN FILIPIAK MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 2222 4TH ST
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City | PERU
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State | IL
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Zip | 61354-3213
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Country | US
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Telephone | 815-719-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 OAKWOOD LN
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City | MARSEILLES
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State | IL
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Zip | 61341-9304
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Country | US
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Telephone | 815-326-1414
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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 | 209.030647
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License Number State | IL
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