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NPI 1043145923

NPI 1043145923 : AMELIA ELIZABETH AMES PA-C : SAINT JOSEPH, MI

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General NPI Number Information
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    NPI Number           |    1043145923
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    Entity Type          |    Individual 
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    Provider Name        |    AMELIA ELIZABETH AMES PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/15/2026
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    Last Update Date     |    06/15/2026
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Provider Practice Location Address
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    Address Line         |    1234 NAPIER AVE 
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    City                 |    SAINT JOSEPH
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    State                |    MI
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    Zip                  |    49085-2112
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    Country              |    US
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    Telephone            |    269-983-8300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8265 FOREST BEACH RD 
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    City                 |    WATERVLIET
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    State                |    MI
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    Zip                  |    49098-9364
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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