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General NPI Number Information
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NPI Number | 1992476691
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Entity Type | Individual
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Provider Name | NINA BUDHWANI NP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 6300 N RIVER RD STE A&100B
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City | ROSEMONT
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State | IL
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Zip | 60018-4206
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Country | US
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Telephone | 847-787-7144
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Fax |
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Provider Business Mailing Address
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Address Line | 343 E STANTON CT
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City | ROUND LAKE BEACH
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State | IL
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Zip | 60073-4876
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Country | US
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Telephone | 847-833-6606
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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 | 209022846
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License Number State | IL
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