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General NPI Number Information
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NPI Number | 1144660838
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Entity Type | Individual
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Provider Name | AMANDA LEANNE SPRINGER MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 1815 E IRELAND RD
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City | SOUTH BEND
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State | IN
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Zip | 46614-2845
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Country | US
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Telephone | 574-647-1700
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Fax | 574-291-3351
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Provider Business Mailing Address
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Address Line | 710 N NILES AVE
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City | SOUTH BEND
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State | IN
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Zip | 46617-1924
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Country | US
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Telephone | 574-647-1610
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Fax | 574-237-6069
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301103853
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301103853
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01076829A
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License Number State | IN
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