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General NPI Number Information
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NPI Number | 1861948044
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Entity Type | Individual
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Provider Name | MONICA L DUNN APN
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Gender | Female
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 8600 N STATE ROUTE 91
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City | PEORIA
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State | IL
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Zip | 61615-9541
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Country | US
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Telephone | 309-683-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 3511 COLLEGE AVE
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City | ALTON
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State | IL
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Zip | 62002-5009
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Country | US
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Telephone | 618-208-0644
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209-014770
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License Number State | IL
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