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General NPI Number Information
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NPI Number | 1114679362
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Entity Type | Organization
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Legal Business Name | AMANDA DORN, MD, PLLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 101 EUROPA DR STE 170
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City | CHAPEL HILL
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State | NC
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Zip | 27517-2378
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Country | US
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Telephone | 919-928-0144
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Fax | 919-928-0145
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Provider Business Mailing Address
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Address Line | 101 EUROPA DR STE 170
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City | CHAPEL HILL
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State | NC
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Zip | 27517-2378
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Country | US
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Telephone | 919-928-0144
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Fax | 919-928-0145
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Authorized Official
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Title or Position | PSYCHIATRIST/MANAGER
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Name | DR. AMANDA STINE DORN
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Credential | MD
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Telephone | 919-928-0144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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