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General NPI Number Information
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NPI Number | 1033983523
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Entity Type | Individual
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Provider Name | AMANDA OSLUND
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Gender | Female
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 1250 TENNOVA MEDICAL WAY
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City | KNOXVILLE
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State | TN
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Zip | 37909-3120
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Country | US
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Telephone | 310-533-7640
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Fax |
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Provider Business Mailing Address
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Address Line | 5924 W PINE LN
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City | KNOXVILLE
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State | TN
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Zip | 37909-1037
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Country | US
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Telephone | 310-533-7640
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5886
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License Number State | TN
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