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General NPI Number Information
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NPI Number | 1881213411
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Entity Type | Individual
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Provider Name | SHERYL WEBER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 129 E 107TH AVE
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City | CROWN POINT
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State | IN
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Zip | 46307-6517
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Country | US
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Telephone | 219-662-4134
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Fax | 219-440-7350
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Provider Business Mailing Address
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Address Line | 11601 N 200 E
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City | DEMOTTE
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State | IN
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Zip | 46310-9642
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Country | US
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Telephone | 708-705-1561
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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 | 209019553
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License Number State | IL
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