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General NPI Number Information
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NPI Number | 1760661151
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Entity Type | Individual
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Provider Name | MELISSA ANNE ALDANA APN/CNP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 7222 W. CERMAK SUITE 713
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City | NORTH RIVERSIDE
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State | IL
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Zip | 60546
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Country | US
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Telephone | 708-447-0680
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Fax |
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Provider Business Mailing Address
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Address Line | 7222 W CERMAK RD SUITE 713
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City | NORTH RIVERSIDE
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State | IL
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Zip | 60546-1422
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Country | US
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Telephone | 708-447-0680
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209006843
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License Number State | IL
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