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General NPI Number Information
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NPI Number | 1558187443
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Entity Type | Individual
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Provider Name | DONA CHARLOT
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 1440 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60607-4623
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Country | US
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Telephone | 773-554-9406
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Fax |
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Provider Business Mailing Address
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Address Line | 8935 SKOKIE BLVD APT 2
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City | SKOKIE
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State | IL
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Zip | 60077-4500
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Country | US
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Telephone | 239-848-5948
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 041545818
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 041545818
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 041545818
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License Number State | IL
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