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General NPI Number Information
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NPI Number | 1821688417
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Entity Type | Individual
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Provider Name | AMY LYNN CHODOROWSKI
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Gender | Female
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 333 N MICHIGAN AVE STE 300
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City | CHICAGO
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State | IL
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Zip | 60601-3902
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Country | US
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Telephone | 773-321-2752
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Fax |
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Provider Business Mailing Address
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Address Line | 7351 E LOWRY BLVD STE 200
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City | DENVER
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State | CO
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Zip | 80230-6083
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Country | US
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Telephone | 303-731-8927
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209022871
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License Number State | IL
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