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General NPI Number Information
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NPI Number | 1922723998
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Entity Type | Individual
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Provider Name | GABRIELLE SUZANNE MARKUS RN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 2000 OGDEN AVE
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City | AURORA
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State | IL
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Zip | 60504-5893
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Country | US
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Telephone | 630-978-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 SUDBURY ST
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City | NAPERVILLE
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State | IL
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Zip | 60564-8420
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Country | US
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Telephone | 816-718-9595
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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 | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number | 2019035067
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License Number State | MO
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