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General NPI Number Information
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NPI Number | 1346689072
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Entity Type | Individual
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Provider Name | JUDITH A SHELDON APN
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Gender | Female
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Dates
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Enumeration Date | 06/16/2013
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 4300 COMMERCE CT STE 250
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City | LISLE
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State | IL
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Zip | 60532-3674
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Country | US
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Telephone | 630-730-5506
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Fax | 630-305-8549
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Provider Business Mailing Address
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Address Line | 4300 COMMERCE CT STE 250
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City | LISLE
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State | IL
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Zip | 60532-3674
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Country | US
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Telephone | 630-730-5506
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Fax | 603-305-8549
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209010258
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041270823
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License Number State | IL
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