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General NPI Number Information
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NPI Number | 1891768115
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Entity Type | Individual
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Provider Name | PATRICIA MENCEL APRN
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 3250 FREEDOM DR
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City | CHARLOTTE
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State | NC
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Zip | 28208-2817
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Country | US
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Telephone | 704-709-6009
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Fax | 704-899-0470
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Provider Business Mailing Address
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Address Line | 30 W MONROE ST STE 1200
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City | CHICAGO
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State | IL
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Zip | 60603-2420
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 001852
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5009719
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License Number State | NC
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