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General NPI Number Information
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NPI Number | 1124846043
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Entity Type | Individual
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Provider Name | AMY FOERG MSN, RN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 2904 MILLER DR
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City | PLYMOUTH
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State | IN
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Zip | 46563-8083
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Country | US
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Telephone | 800-342-5653
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Fax | 260-356-6241
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Provider Business Mailing Address
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Address Line | 2312 S DIXON RD
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City | KOKOMO
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State | IN
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Zip | 46902-6401
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Country | US
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Telephone | 765-450-1082
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Fax | 765-865-0270
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 28132761A
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License Number State | IN
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