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General NPI Number Information
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NPI Number | 1912352089
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Entity Type | Individual
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Provider Name | JENNIFER L. DUNLOP APN-CNP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 130 S MAIN ST
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City | LOMBARD
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State | IL
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Zip | 60148-2670
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Country | US
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Telephone | 708-369-8053
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Fax |
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Provider Business Mailing Address
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Address Line | 130 S MAIN ST
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City | LOMBARD
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State | IL
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Zip | 60148-2670
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Country | US
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Telephone |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 041.339902
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License Number State | IL
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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 | 041-339902
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.014672
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 277002559
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License Number State | IL
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