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General NPI Number Information
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NPI Number | 1720990237
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Entity Type | Individual
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Provider Name | VANESSA BRISENO RN
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 915 N CARON RD
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City | ROCHELLE
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State | IL
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Zip | 61068-9649
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Country | US
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Telephone | 815-561-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 247 KELLEY DR
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City | ROCHELLE
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State | IL
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Zip | 61068-1703
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 041604909
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License Number State | IL
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