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General NPI Number Information
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NPI Number | 1811508799
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Entity Type | Individual
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Provider Name | ANCY JOICE PAPPAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 17243 GRANGE DR
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City | ORLAND PARK
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State | IL
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Zip | 60467-7589
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Country | US
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Telephone | 718-809-3760
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Fax |
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Provider Business Mailing Address
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Address Line | 17243 GRANGE DR
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City | ORLAND PARK
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State | IL
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Zip | 60467-7589
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Country | US
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Telephone | 718-809-3760
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.030848
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01072000
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License Number State | NJ
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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 | 041.575592
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR15812700
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License Number State | NJ
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