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General NPI Number Information
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NPI Number | 1093216566
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Entity Type | Individual
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Provider Name | AMANDA RAPAPORT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 13535 SW 72ND AVE STE 170
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City | PORTLAND
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State | OR
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Zip | 97223-8074
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Country | US
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Telephone | 971-300-0654
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 DOLLAR ST
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City | WEST LINN
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State | OR
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Zip | 97068-4418
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Country | US
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Telephone | 106-999-1233
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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 | SP018543
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201709855NP-PP
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License Number State | OR
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