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General NPI Number Information
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NPI Number | 1508230475
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Entity Type | Individual
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Provider Name | ANNA G WEINBERG KLINER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 1825 WILLOW RD
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City | NORTHFIELD
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State | IL
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Zip | 60093-2925
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Country | US
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Telephone | 800-323-8622
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Fax | 224-225-0364
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Provider Business Mailing Address
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Address Line | 1825 WILLOW RD
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City | NORTHFIELD
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State | IL
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Zip | 60093-2925
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Country | US
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Telephone | 800-323-8622
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Fax | 224-225-0364
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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 | 209013261
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License Number State | IL
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