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General NPI Number Information
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NPI Number | 1689535072
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Entity Type | Individual
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Provider Name | NOEMI ZAMUDIO CNP
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 7180 SPRING BROOK RD STE 108
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City | ROCKFORD
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State | IL
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Zip | 61114-6700
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Country | US
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Telephone | 779-696-2750
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Fax |
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Provider Business Mailing Address
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Address Line | 814 ROBERT DR
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City | WOODSTOCK
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State | IL
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Zip | 60098-2485
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Country | US
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Telephone | 815-261-8317
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.033570
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License Number State | IL
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