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General NPI Number Information
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NPI Number | 1760022180
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Entity Type | Individual
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Provider Name | CHRIS A HERBERT FNP
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Gender | Male
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 403 E 1ST ST
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City | DIXON
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State | IL
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Zip | 61021-3187
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Country | US
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Telephone | 815-288-5531
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Fax | 815-285-5558
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Provider Business Mailing Address
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Address Line | 403 E 1ST ST
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City | DIXON
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State | IL
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Zip | 61021-3187
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Country | US
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Telephone | 815-288-5531
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Fax | 815-285-5558
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 209020686
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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 | 209020686
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License Number State | IL
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