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General NPI Number Information
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NPI Number | 1083081129
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Entity Type | Individual
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Provider Name | JUANA MARIA AMBRIZ DE WILLIAMS DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 505 E 1100 N
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City | CHESTERTON
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State | IN
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Zip | 46304-9697
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Country | US
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Telephone | 219-926-1420
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Fax |
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Provider Business Mailing Address
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Address Line | 2052 BLARNEY STONE DRIVE
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City | VALPARAISO
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State | IN
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Zip | 46385
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Country | US
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Telephone | 877-880-7993
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Fax | 877-880-7993
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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 | 28171474A
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License Number State | IN
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