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General NPI Number Information
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NPI Number | 1710920962
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Entity Type | Individual
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Provider Name | VICKI ANN ANDREONI DNP, RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 807 S 1ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-2307
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Country | US
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Telephone | 708-449-9529
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Fax | 708-449-9525
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Provider Business Mailing Address
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Address Line | 300 S PECK AVE
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City | LA GRANGE
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State | IL
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Zip | 60525-2171
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Country | US
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Telephone | 708-352-2742
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209-001982
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License Number State | IL
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