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General NPI Number Information
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NPI Number | 1518762590
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Entity Type | Individual
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Provider Name | YESENIA REYES APRN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1022 N FARNSWORTH AVE
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City | AURORA
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State | IL
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Zip | 60505-2008
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Country | US
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Telephone | 630-477-7200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746715
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City | ATLANTA
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State | GA
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Zip | 30374-6715
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Country | US
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Telephone | 630-477-7200
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Fax | 630-642-2154
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 041492815
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License Number State | IL
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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 | 209031944
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License Number State | IL
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