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General NPI Number Information
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NPI Number | 1225662448
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Entity Type | Individual
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Provider Name | AMELIA H TEAS DNP APRN AG/ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 200 E 89TH AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7318
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Country | US
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Telephone | 219-738-4926
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Fax | 219-738-4931
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Provider Business Mailing Address
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Address Line | 2225 KELLE DR APT 202
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City | CHESTERTON
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State | IN
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Zip | 46304-8744
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Country | US
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Telephone | 815-954-8327
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 8845473-8900
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License Number State | UT
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