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General NPI Number Information
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NPI Number | 1851789366
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Entity Type | Individual
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Provider Name | LISA SZAFRANOWSKI RN MS CDE
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Gender | Female
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | CALIFORNIA AVENUE AT 15TH STREET
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City | CHICAGO
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State | IL
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Zip | 60608
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Country | US
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Telephone | 773-257-5241
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Fax |
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Provider Business Mailing Address
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Address Line | 899 HOLBROOK RD
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-7523
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Country | US
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Telephone | 773-257-5241
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 041.228912
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License Number State | IL
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