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General NPI Number Information
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NPI Number | 1609945450
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Entity Type | Individual
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Provider Name | THERESA ELIZABETH RANTA APN-CNP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 2180 PFINGSTEN RD STE 3000
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City | GLENVIEW
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State | IL
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Zip | 60026-1340
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Country | US
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Telephone | 847-503-3000
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Fax | 847-503-3500
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Provider Business Mailing Address
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Address Line | 2180 PFINGSTEN RD STE 3000
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City | GLENVIEW
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State | IL
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Zip | 60026-1340
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Country | US
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Telephone | 847-503-3000
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Fax | 847-503-3500
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP30007157
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 277000901
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License Number State | IL
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