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General NPI Number Information
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NPI Number | 1780458174
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Entity Type | Individual
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Provider Name | OLGA MELTSER RN, APN
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 1930 STRENGER LN
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City | RIVERWOODS
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State | IL
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Zip | 60015-1659
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Country | US
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Telephone | 224-625-0046
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Fax | 847-444-9100
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Provider Business Mailing Address
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Address Line | 1930 STRENGER LN
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City | RIVERWOODS
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State | IL
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Zip | 60015-1659
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Country | US
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Telephone | 224-625-0046
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Fax | 847-444-9100
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.028671
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 041.501503
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 255194-30
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License Number State | WI
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