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General NPI Number Information
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NPI Number | 1922495191
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Entity Type | Individual
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Provider Name | MS. LILY YUEN
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Gender | Female
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 2800 S WENTWORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60616-4766
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Country | US
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Telephone | 312-808-1288
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Fax | 312-808-1188
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Provider Business Mailing Address
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Address Line | 501 W 24TH PL APT 608
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City | CHICAGO
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State | IL
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Zip | 60616-1869
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Country | US
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Telephone | 773-814-1672
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Fax | 312-808-1188
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 041.363706
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 041.363706
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License Number State | IL
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