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General NPI Number Information
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NPI Number | 1447120381
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Entity Type | Individual
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Provider Name | JASMINE MIRABELLI SHADRICK APN-CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 800 W CENTRAL RD DEPARTMENT OF ANESTHESIA
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2349
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Country | US
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Telephone | 847-618-7140
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Fax | 847-618-0228
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Provider Business Mailing Address
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Address Line | 1454 W RANDOLPH ST APT 209
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City | CHICAGO
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State | IL
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Zip | 60607-1426
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209033675
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License Number State | IL
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