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NPI 1720014640

NPI 1720014640 : MARGARET E RICHARD RN, APN : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1720014640
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET E RICHARD RN, APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/23/2006
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    Last Update Date     |    09/22/2011
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Provider Practice Location Address
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    Address Line         |    2300 N CHILDRENS PLZ 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60614-3363
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    Country              |    US
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    Telephone            |    312-227-6547
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    Fax                  |    312-227-9405
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Provider Business Mailing Address
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    Address Line         |    2456 W WARNER AVE 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60618-2812
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    Country              |    US
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    Telephone            |    312-227-6547
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    Fax                  |    312-227-9405
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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       |    209-004155
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    License Number State |    IL
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