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General NPI Number Information
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NPI Number | 1063818847
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Entity Type | Individual
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Provider Name | AMANDA LOUISE LEONARD CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 5609 5TH AVE
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City | PITTSBURGH
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State | PA
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Zip | 15232-2601
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Country | US
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Telephone | 412-362-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 744 GREENTREE RD
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City | PITTSBURGH
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State | PA
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Zip | 15220-5213
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Country | US
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Telephone | 412-512-0844
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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 | SP014069
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License Number State | PA
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