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General NPI Number Information
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NPI Number | 1992574032
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Entity Type | Individual
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Provider Name | GINA NICOLE SCHOLL-BOGAT APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 15300 WEST AVE STE 100A
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City | ORLAND PARK
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State | IL
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Zip | 60462-4600
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Country | US
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Telephone | 708-226-2318
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Fax | 708-226-2319
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Provider Business Mailing Address
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Address Line | 15300 WEST AVE STE 100A
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City | ORLAND PARK
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State | IL
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Zip | 60462-4600
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Country | US
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Telephone | 708-226-2318
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Fax | 708-226-2319
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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 | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 041442610
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209029786
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209029786
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License Number State | IL
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