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General NPI Number Information
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NPI Number | 1821390667
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Entity Type | Individual
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Provider Name | LILIANA RUBIO APN, MSN
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Gender | Female
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 2045 W WASHINGTON BLVD
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City | CHICAGO
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State | IL
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Zip | 60612-2428
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Country | US
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Telephone | 312-413-7935
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Fax | 312-413-7938
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Provider Business Mailing Address
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Address Line | 2640 S SPRINGFIELD AVE
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City | CHICAGO
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State | IL
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Zip | 60623-4415
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Country | US
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Telephone | 773-762-5194
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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 | 209.0084878
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License Number State | IL
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