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General NPI Number Information
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NPI Number | 1841095544
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Entity Type | Individual
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Provider Name | ULJAN COBO
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Gender | Male
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 400 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-3814
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Country | US
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Telephone | 815-991-4628
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Fax |
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Provider Business Mailing Address
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Address Line | 921 N PLUM GROVE RD
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4761
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Country | US
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Telephone | 847-359-3400
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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 | 209.031642
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License Number State | IL
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