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General NPI Number Information
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NPI Number | 1619210721
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Entity Type | Individual
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Provider Name | ANDREA MARIE EPPLIN NP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 5383 STATE ROUTE 154 FAMILY MEDICAL CENTER
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City | PINCKNEYVILLE
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State | IL
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Zip | 62274
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Country | US
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Telephone | 618-357-2131
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Fax | 618-357-8844
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Provider Business Mailing Address
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Address Line | 5383 STATE ROUTE 154, PO BOX 437 FAMILY MEDICAL CENTER
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City | PINCKNEYVILLE
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State | IL
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Zip | 62274
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Country | US
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Telephone | 618-357-2131
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Fax | 618-357-8844
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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 | 209010326
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209010326
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License Number State | IL
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