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General NPI Number Information
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NPI Number | 1023750171
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Entity Type | Individual
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Provider Name | AMANDA NUBELO MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2022
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 7350 W FRIENDLY AVE
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City | GREENSBORO
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State | NC
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Zip | 27410
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Country | US
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Telephone | 336-218-8813
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Fax |
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Provider Business Mailing Address
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Address Line | 9027 COOK FARM RD
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City | BELEWS CREEK
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State | NC
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Zip | 27009-9759
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 318023
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License Number State | NC
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