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General NPI Number Information
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NPI Number | 1588447205
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Entity Type | Individual
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Provider Name | JAMIE YI APN
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Gender | Female
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1350 N WELLS ST STE A
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City | CHICAGO
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State | IL
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Zip | 60610-1936
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Country | US
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Telephone | 312-638-4979
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Fax |
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Provider Business Mailing Address
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Address Line | 635 PERRIE DR # 502-2
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-7904
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Country | US
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Telephone | 224-688-7964
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209027414
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License Number State | IL
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