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General NPI Number Information
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NPI Number | 1508232471
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Entity Type | Individual
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Provider Name | ELLEN MUNSON N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-916-9759
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Fax |
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Provider Business Mailing Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 312-926-9759
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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 | RN1019946
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License Number State | DC
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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 | 209.015175
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License Number State | IL
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