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General NPI Number Information
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NPI Number | 1821969304
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Entity Type | Individual
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Provider Name | TERESA JO ELMQUIST CRNP- FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 49 RIDGMONT DR STE 1
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City | RIDGWAY
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State | PA
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Zip | 15853-9700
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Country | US
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Telephone | 814-245-2119
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Fax | 814-245-2122
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Provider Business Mailing Address
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Address Line | 7350 GLEN HAZEL RD
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City | WILCOX
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State | PA
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Zip | 15870-3616
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP033888
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License Number State | PA
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