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General NPI Number Information
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NPI Number | 1790795474
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Entity Type | Individual
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Provider Name | LORRITA MARIE VERHEY APN,FNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 734 W. 47TH STREET SOUTH IHC
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City | CHICAGO
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State | IL
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Zip | 60609
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Country | US
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Telephone | 773-536-8400
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Fax | 773-536-2406
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Provider Business Mailing Address
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Address Line | 845 S. DAMEN AVE. SUITE 938
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City | CHICAGO
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State | IL
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Zip | 60612-7350
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Country | US
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Telephone | 312-996-8009
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Fax | 312-996-7725
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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 |
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License Number State | IL
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