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General NPI Number Information
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NPI Number | 1578379707
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Entity Type | Organization
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Legal Business Name | ADVANCED PRACTICE HEALTH INSTITUTE LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1784 E OAKTON ST STE 102
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City | DES PLAINES
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State | IL
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Zip | 60018-2172
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Country | US
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Telephone | 847-865-4310
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Fax |
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Provider Business Mailing Address
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Address Line | 420 HUEHL RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-2304
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Country | US
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Telephone | 847-865-4310
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BERNARD ANDRES
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Credential | APN
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Telephone | 847-865-4310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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