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General NPI Number Information
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NPI Number | 1003622242
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Entity Type | Individual
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Provider Name | AMY KATHLEEN SALATA MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 643 N YORK ST # 1010
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City | ELMHURST
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State | IL
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Zip | 60126-1604
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Country | US
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Telephone | 708-721-2106
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Fax |
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Provider Business Mailing Address
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Address Line | 643 N YORK ST # 1010
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City | ELMHURST
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State | IL
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Zip | 60126-1604
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Country | US
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Telephone | 708-721-2106
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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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 | 209031294
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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