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General NPI Number Information
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NPI Number | 1548291289
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Entity Type | Individual
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Provider Name | JANET ELAINE STIERWALT NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 01/18/2016
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Provider Practice Location Address
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Address Line | 500 S SCOTT AVE
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City | NEWTON
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State | IL
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Zip | 62448-1665
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Country | US
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Telephone | 618-783-2144
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E LOCUST ST
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City | OLNEY
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State | IL
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Zip | 62450-2553
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Country | US
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Telephone | 618-395-7340
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Fax | 618-395-6020
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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 | 209-005982
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License Number State | IL
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