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General NPI Number Information
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NPI Number | 1801170642
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Entity Type | Individual
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Provider Name | ANGELA PURIC APN, CNM
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Gender | Female
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2350 LEHIGH AVE
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City | GLENVIEW
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State | IL
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Zip | 60026-1689
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Country | US
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Telephone | 847-777-3807
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Fax |
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Provider Business Mailing Address
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Address Line | 3406 LINNEMAN ST
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City | GLENVIEW
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State | IL
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Zip | 60025-3922
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Country | US
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Telephone | 219-628-0698
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 277.000036
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License Number State | IL
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