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General NPI Number Information
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NPI Number | 1063144525
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Entity Type | Individual
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Provider Name | AMANDA MARIE PHILLIPS APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 8400 E BROAD ST
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-9749
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Country | US
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Telephone | 614-328-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 3430 OHIOHEALTH PKWY
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City | COLUMBUS
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State | OH
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Zip | 43202-1575
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Country | US
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Telephone | 614-544-4604
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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 | 0031401
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License Number State | OH
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