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General NPI Number Information
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NPI Number | 1851930036
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Entity Type | Individual
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Provider Name | BIANCA RAY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/05/2020
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 146 W US HIGHWAY 30
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1852
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Country | US
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Telephone | 219-301-6601
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Fax |
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Provider Business Mailing Address
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Address Line | 829 E 194TH ST UNIT 2E
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City | GLENWOOD
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State | IL
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Zip | 60425-2153
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Country | US
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Telephone | 708-870-8562
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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 | 71014529A
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License Number State | IN
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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 | 209017003
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License Number State | IL
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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 | 041397280
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License Number State | IL
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