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General NPI Number Information
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NPI Number | 1205251303
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Entity Type | Individual
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Provider Name | AMELIA TERENZIO ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 6225 BRANDON AVE STE 365
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2526
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Country | US
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Telephone | 571-642-3433
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 639295 DEPT 93394
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City | CINCINNATI
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State | OH
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Zip | 45263-9295
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Country | US
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Telephone | 248-266-4200
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Fax | 855-618-6655
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024190198
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License Number State | VA
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