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General NPI Number Information
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NPI Number | 1467232363
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Entity Type | Individual
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Provider Name | EMILY MARIE KREUCHER DNP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 1325 WILLOW RD
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City | HOMEWOOD
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State | IL
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Zip | 60430-3434
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Country | US
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Telephone | 708-927-2637
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 WILLOW RD
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City | HOMEWOOD
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State | IL
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Zip | 60430-3434
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 301176
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License Number State | AZ
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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 | 041404464
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License Number State | IL
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