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General NPI Number Information
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NPI Number | 1881994432
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Entity Type | Individual
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Provider Name | AMBER L LENSTROM PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 5757 N LINCOLN AVE SUITE 27
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City | CHICAGO
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State | IL
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Zip | 60659-4714
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Country | US
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Telephone | 773-728-5133
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Fax | 773-728-5134
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Provider Business Mailing Address
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Address Line | 5757 N LINCOLN AVE SUITE 27
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City | CHICAGO
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State | IL
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Zip | 60659-4714
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Country | US
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Telephone | 773-728-5133
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Fax | 773-728-5134
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 085.003819
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 124234
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8496-23
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License Number State | WI
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