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General NPI Number Information
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NPI Number | 1700688223
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Entity Type | Individual
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Provider Name | MIRHA KARIC FNP
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 270 W ARMY TRAIL RD
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City | CAROL STREAM
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State | IL
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Zip | 60188-9368
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Country | US
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Telephone | 630-517-5674
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Fax |
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Provider Business Mailing Address
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Address Line | 4755 MAIN ST UNIT 1529
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City | LISLE
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State | IL
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Zip | 60532-2082
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Country | US
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Telephone | 872-203-5397
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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 | 209.032008
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License Number State | IL
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