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General NPI Number Information
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NPI Number | 1497135636
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Entity Type | Individual
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Provider Name | HOPE O'KEEFE APN-C
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Gender | Female
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 36400 ESSEX RD
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City | WILMINGTON
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State | IL
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Zip | 60481-9500
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Country | US
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Telephone | 815-458-7827
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Fax | 443-213-6961
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Provider Business Mailing Address
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Address Line | 3986 W 7940N RD
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City | MANTENO
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State | IL
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Zip | 60950-3465
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Country | US
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Telephone | 815-671-2730
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Fax | 443-213-6961
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209-012830
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License Number State | IL
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