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General NPI Number Information
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NPI Number | 1679262661
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Entity Type | Individual
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Provider Name | TERESA CHAMAH BSN, RN, PMH-BC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 17273 STATE ROUTE 104
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-9718
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Country | US
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Telephone | 740-773-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 199 S CENTRAL AVE
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City | COLUMBUS
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State | OH
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Zip | 43223-1301
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Country | US
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Telephone | 614-316-0695
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 371779
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 371779
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 371779
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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