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General NPI Number Information
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NPI Number | 1447808233
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Entity Type | Individual
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Provider Name | TASHA MAE JANSSEN NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 516 13TH ST
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City | WELLMAN
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State | IA
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Zip | 52356-9232
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Country | US
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Telephone | 319-646-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 4711 GOLF RD STE 1250
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City | SKOKIE
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State | IL
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Zip | 60076-1232
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Country | US
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Telephone | 847-235-6130
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 115158
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.030152
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A135164
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License Number State | IA
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