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General NPI Number Information
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NPI Number | 1003525924
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Entity Type | Individual
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Provider Name | AMANDA RECKERS ND
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Gender | Female
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 519 S 15TH ST
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City | RICHMOND
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State | IN
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Zip | 47374-6424
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Country | US
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Telephone | 765-896-4486
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 125
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City | RICHMOND
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State | IN
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Zip | 47375-0125
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 099.0101634
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License Number State | VT
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