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General NPI Number Information
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NPI Number | 1053943647
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Entity Type | Individual
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Provider Name | AMAYA EDGE FNP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 2062 WHISKEY RD
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City | AIKEN
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State | SC
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Zip | 29803-6183
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Country | US
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Telephone | 980-297-5556
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 8482
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City | SIMPSONVILLE
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State | SC
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Zip | 29608-6183
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5012813
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1383233
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 23593
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024185226
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 5012813
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License Number State | NC
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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 | RN265652
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP028603
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ14867700
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License Number State | NJ
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Taxonomy #9
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 350481
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License Number State | NY
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