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General NPI Number Information
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NPI Number | 1043476971
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Entity Type | Individual
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Provider Name | AMANDA APODACA BLANCAS FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2415 E CAMELBACK RD STE 700
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City | PHOENIX
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State | AZ
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Zip | 85016-4245
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Country | US
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Telephone | 888-279-0002
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Fax | 915-534-1289
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Provider Business Mailing Address
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Address Line | 2415 E CAMELBACK RD STE 700
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City | PHOENIX
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State | AZ
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Zip | 85016-4245
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Country | US
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Telephone | 888-279-0002
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Fax | 915-534-1289
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP116908
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 692637
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 692637
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License Number State | TX
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