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General NPI Number Information
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NPI Number | 1124267851
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Entity Type | Individual
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Provider Name | TERESITA MENDOZA RESCOBER R.N.-ADV.PRACT./C.SP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 1901 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-4267
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Fax | 312-864-9553
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Provider Business Mailing Address
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Address Line | 1901 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-4267
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Fax | 312-864-9553
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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 | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 041-142384
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 163W00000X
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 041-142384
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 041-142384
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 041-142384
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 364SP1700X
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Taxonomy Name | Perinatal Clinical Nurse Specialist
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License Number | 209.001313
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License Number State | IL
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