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General NPI Number Information
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NPI Number | 1962288027
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Entity Type | Individual
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Provider Name | EMILIA KNOWSKI APN
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Gender | Female
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 2160 S 1ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-3328
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Country | US
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Telephone | 888-584-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 9745 TULLEY AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-3076
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Country | US
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Telephone | 773-807-3373
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.028000
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209028000
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License Number State | IL
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