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General NPI Number Information
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NPI Number | 1083212195
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Entity Type | Individual
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Provider Name | AMANDA TORGERSON FNP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 202 PROSPECT DR
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City | GLENDIVE
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State | MT
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Zip | 59330-1999
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Country | US
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Telephone | 406-345-3306
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Fax | 406-345-3312
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Provider Business Mailing Address
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Address Line | 8343 HAWK EYE RD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-3788
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Country | US
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Telephone | 303-819-8954
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 60966
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License Number State | NM
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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 | 176580
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP-60966
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License Number State | NM
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