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General NPI Number Information
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NPI Number | 1578969671
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Entity Type | Organization
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Legal Business Name | NWWOMENS CONSULTATANTS
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 1630 W CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2407
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Country | US
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Telephone | 847-394-3553
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Fax | 847-394-3574
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Provider Business Mailing Address
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Address Line | 1630 W. CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005
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Country | US
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Telephone | 847-394-3553
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Fax | 847-394-3574
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SHIRL F BUNZOL
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Credential |
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Telephone | 847-394-3553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.011531
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License Number State | IL
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