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General NPI Number Information
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NPI Number | 1740658228
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Entity Type | Individual
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Provider Name | PAIGE LEPP MS, FNP-BC, FPA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 3633 W LAKE AVE STE 409
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City | GLENVIEW
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State | IL
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Zip | 60026-5804
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Country | US
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Telephone | 478-344-3618
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Fax | 847-834-9217
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Provider Business Mailing Address
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Address Line | 3633 W LAKE AVE STE 409
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City | GLENVIEW
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State | IL
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Zip | 60026-5804
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Country | US
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Telephone | 847-834-4361
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Fax | 847-834-9217
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 277001332
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 041369841
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277001332
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License Number State | IL
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