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General NPI Number Information
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NPI Number | 1760325930
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Entity Type | Organization
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Legal Business Name | A-Z ADVANCED NURSING SERVICES LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 14335 JAMESTOWN RD
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City | BREESE
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State | IL
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Zip | 62230-3681
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Country | US
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Telephone | 618-444-7231
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Fax | 636-333-4510
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Provider Business Mailing Address
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Address Line | PO BOX 1175
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City | O FALLON
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State | IL
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Zip | 62269-8175
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Country | US
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Telephone | 618-444-7231
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Fax | 636-333-4510
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Authorized Official
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Title or Position | OWNER, APN
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Name | AMBER PENDEGRAFT
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Credential | NP
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Telephone | 618-444-7231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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