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General NPI Number Information
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NPI Number | 1770067894
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Entity Type | Individual
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Provider Name | TRISHA LYNN WEST FNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 2845 N SHERIDAN RD FL 6
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City | CHICAGO
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State | IL
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Zip | 60657-7227
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Country | US
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Telephone | 773-665-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 NAVISTAR DR
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City | LISLE
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State | IL
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Zip | 60532-3661
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Country | US
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Telephone | 224-273-2869
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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 | 209.018188
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10128
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License Number State | WI
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