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General NPI Number Information
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NPI Number | 1558147876
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Entity Type | Organization
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Legal Business Name | JULIE FEY NP, LLC
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 5901 N CICERO AVE STE 209
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City | CHICAGO
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State | IL
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Zip | 60646-5718
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Country | US
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Telephone | 773-332-3267
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 N CICERO AVE STE 209
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City | CHICAGO
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State | IL
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Zip | 60646-5718
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Country | US
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Telephone | 773-332-3267
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JULIE FEY
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Credential | APN
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Telephone | 773-332-3267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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