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General NPI Number Information
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NPI Number | 1063871028
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Entity Type | Individual
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Provider Name | ANELIA STAMATOVA PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 10001 GRAND AVE
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-2563
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Country | US
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Telephone | 847-451-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 5111 N CLAREMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60625-1811
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Country | US
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Telephone | 773-517-9334
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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 | 209.013493
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 277.002429
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License Number State | IL
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