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General NPI Number Information
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NPI Number | 1821812454
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Entity Type | Individual
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Provider Name | GIANNA GRACE ZOMPARELLI NP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 8247 WICKER AVE
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City | SAINT JOHN
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State | IN
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Zip | 46373-8878
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Country | US
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Telephone | 219-232-2772
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Fax | 219-300-0020
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Provider Business Mailing Address
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Address Line | PO BOX 661
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City | SCHERERVILLE
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State | IN
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Zip | 46375-0661
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Country | US
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Telephone | 219-232-2772
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Fax | 219-300-0020
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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 | 28281846A
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License Number State | IN
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