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General NPI Number Information
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NPI Number | 1003837352
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Entity Type | Individual
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Provider Name | AMY E FATHMAN CFNP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 400 ALTAIR PKWY STE 3100
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City | WESTERVILLE
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State | OH
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Zip | 43082-7653
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Country | US
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Telephone | 614-360-9995
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Fax | 614-745-0165
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Provider Business Mailing Address
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Address Line | 9855 WASHINGTON TRACE RD
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City | CALIFORNIA
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State | KY
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Zip | 41007-8507
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3003600
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License Number State | KY
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