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General NPI Number Information
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NPI Number | 1023207891
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Entity Type | Individual
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Provider Name | AMY M. DRAB PA
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Gender | Female
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 2600 PARTIN DR N STE 110
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City | NICEVILLE
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State | FL
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Zip | 32578-1543
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Country | US
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Telephone | 850-517-6578
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Fax | 850-810-5488
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Provider Business Mailing Address
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Address Line | 4006 SUGARCANE CREEK RUN
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City | NICEVILLE
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State | FL
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Zip | 32578-1528
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Country | US
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Telephone | 850-543-1985
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-529
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License Number State | AL
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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 | PA9107391
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License Number State | FL
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