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General NPI Number Information
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NPI Number | 1386511517
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Entity Type | Individual
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Provider Name | DEIARA LASHAE KIZER RN-BSN
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Gender | Female
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 107 W 74TH ST UNIT G
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City | CHICAGO
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State | IL
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Zip | 60621-3403
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Country | US
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Telephone | 630-881-7583
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Fax |
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Provider Business Mailing Address
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Address Line | 107 W 74TH ST UNIT 2 UNIT G
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City | CHICAGO
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State | IL
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Zip | 60621-3403
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Country | US
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Telephone | 630-881-7583
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 041484642
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 0410484642
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number | 041484642
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 041484642
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 041484642
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 1744R1103X
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Taxonomy Name | Research Study Abstracter/Coder
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License Number | 0410484642
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 0410484642
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 0410484642
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 0410484642
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | 0410484642
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License Number State | IL
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Taxonomy #11
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0410484642
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 0410484642
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License Number State | IL
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Taxonomy #13
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 0410484642
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License Number State | IL
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Taxonomy #14
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0410484642
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License Number State | IL
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Taxonomy #15
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 041484642
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License Number State | IL
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