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General NPI Number Information
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NPI Number | 1912207036
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Entity Type | Individual
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Provider Name | MELISSA NICOLETTA TOULIOS APN
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Gender | Female
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 1032 E OGDEN AVE
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City | NAPERVILLE
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State | IL
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Zip | 60563-8618
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Country | US
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Telephone | 708-334-3471
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Fax |
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Provider Business Mailing Address
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Address Line | 6844 W LINDEN DR
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-2136
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Country | US
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Telephone | 708-334-3471
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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 | 209008429
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License Number State | IL
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