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General NPI Number Information
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NPI Number | 1871951913
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Entity Type | Individual
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Provider Name | BERNARDINA S CLAVEL-RAMOS MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 13341 SOUTHWEST HWY STE 1
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City | ORLAND PARK
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State | IL
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Zip | 60462-1310
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Country | US
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Telephone | 708-827-5608
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Fax | 708-310-3661
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Provider Business Mailing Address
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Address Line | 731 HANBURY DR
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City | DES PLAINES
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State | IL
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Zip | 60016-1567
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Country | US
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Telephone | 847-693-0211
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 041293486
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License Number State | IL
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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 | 209012834
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License Number State | IL
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