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General NPI Number Information
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NPI Number | 1912662651
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Entity Type | Individual
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Provider Name | MARIA MAGDALENA COLTA
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Gender | Female
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 800 W CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2349
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Country | US
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Telephone | 847-618-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 800 W CENTRAL RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-2349
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Country | US
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Telephone | 847-618-6575
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Fax | 847-618-6569
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041460053
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.024371
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209024371
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License Number State | IL
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