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General NPI Number Information
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NPI Number | 1093578239
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Entity Type | Individual
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Provider Name | AMY S GAY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 2203 MARCHBANKS AVE
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City | ANDERSON
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State | SC
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Zip | 29621-2247
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Country | US
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Telephone | 864-231-7786
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Fax |
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Provider Business Mailing Address
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Address Line | 1547 NEW HOPE RD
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City | HARTWELL
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State | GA
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Zip | 30643-2671
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Country | US
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Telephone | 706-308-8499
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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 | RN207383
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License Number State | GA
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