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General NPI Number Information
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NPI Number | 1053931949
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Entity Type | Individual
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Provider Name | AMY LYNN DOUGHERTY
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Gender | Female
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 110 TRADERS CROSS FL 1
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City | BLUFFTON
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State | SC
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Zip | 29909-4637
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Country | US
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Telephone | 877-564-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 801 TILGHMAN DR
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City | DUNN
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State | NC
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Zip | 28334-5891
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Country | US
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Telephone | 910-892-6500
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25798
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License Number State | SC
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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 | 5013327
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License Number State | NC
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