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General NPI Number Information
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NPI Number | 1164036539
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Entity Type | Individual
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Provider Name | AMY SCHWADRON CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 101 24TH ST
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City | OPELIKA
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State | AL
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Zip | 36801-6253
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Country | US
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Telephone | 334-610-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 1789 FIELD STONE LN
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City | AUBURN
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State | AL
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Zip | 36830-7264
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Country | US
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Telephone | 334-707-0982
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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 | 1-076856
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License Number State | AL
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