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General NPI Number Information
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NPI Number | 1578031183
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Entity Type | Individual
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Provider Name | YESENIA SERVIN CPMSM
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Gender | Female
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 6243 26TH ST UNIT B
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City | BERWYN
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State | IL
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Zip | 60402-2098
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Country | US
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Telephone | 708-685-6092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1974
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City | OAK PARK
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State | IL
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Zip | 60304
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Country | US
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Telephone |
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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