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General NPI Number Information
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NPI Number | 1538992565
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Entity Type | Individual
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Provider Name | DELIA J BEDON
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Gender | Female
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Dates
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Enumeration Date | 08/23/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1S450 SUMMIT AVE
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-3990
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Country | US
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Telephone | 630-320-6871
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 SOMERSET CT
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City | ROMEOVILLE
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State | IL
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Zip | 60446-3988
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Country | US
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Telephone | 630-747-5162
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 209.029840
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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 | 209029840
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License Number State | IL
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