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General NPI Number Information
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NPI Number | 1649361171
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Entity Type | Individual
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Provider Name | ELVIA A. WASHINGTON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 550 WARRENVILLE RD SUITE 200
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City | LISLE
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State | IL
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Zip | 60532
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Country | US
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Telephone | 217-303-8830
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Fax | 312-801-8619
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Provider Business Mailing Address
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Address Line | 225 W WASHINGTON ST STE 1700
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City | CHICAGO
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State | IL
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Zip | 60606-3404
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209002418
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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 | 209-002418
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License Number State | IL
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