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General NPI Number Information
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NPI Number | 1578434213
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Entity Type | Individual
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Provider Name | GIANNA PORCO
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 303 BANK AVE
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City | RIVERTON
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State | NJ
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Zip | 08077-1113
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Country | US
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Telephone | 855-700-8184
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Fax |
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Provider Business Mailing Address
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Address Line | 415 W GOLF RD STE 26
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3923
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Country | US
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Telephone | 855-700-8184
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Fax | 224-633-1935
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ15421900
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License Number State | NJ
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