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General NPI Number Information
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NPI Number | 1033732763
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Entity Type | Individual
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Provider Name | AMBER NICOLE DORROUGH MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 3807 MCGINNIS DR
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City | JUNEAU
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State | AK
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Zip | 99801
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Country | US
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Telephone | 907-419-0650
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Fax | 907-519-0555
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Provider Business Mailing Address
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Address Line | 3807 MCGINNIS DR
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City | JUNEAU
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State | AK
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Zip | 99801-8816
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Country | US
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Telephone | 907-419-0650
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Fax | 907-519-0555
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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 | 168406
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61186589
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 212380
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | R098179
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 212975
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License Number State | AR
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61186594
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 176690
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License Number State | MT
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0137441TELE
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License Number State | VT
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 162977
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License Number State | AK
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