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General NPI Number Information
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NPI Number | 1780560839
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Entity Type | Individual
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Provider Name | DEANNA PANNELL
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1325 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-1449
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Country | US
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Telephone | 630-859-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 218 JULEP AVE
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City | OSWEGO
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State | IL
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Zip | 60543-7705
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95178035
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704390502
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2017003944
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 041502608
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License Number State | IL
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