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General NPI Number Information
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NPI Number | 1154321420
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Entity Type | Individual
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Provider Name | TERESA MARIE MATZKE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 561 W CENTRAL AVE
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City | DELAWARE
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State | OH
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Zip | 43015-1410
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Country | US
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Telephone | 740-615-1000
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Fax | 740-615-2565
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Provider Business Mailing Address
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Address Line | 5400 FRANTZ RD 250
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City | DUBLIN
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State | OH
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Zip | 43016-6102
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Country | US
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Telephone | 614-544-6161
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Fax | 614-544-6370
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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 | 195117
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License Number State | MT
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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 | CNP.14059
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14059
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License Number State | OH
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