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General NPI Number Information
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NPI Number | 1164230736
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Entity Type | Individual
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Provider Name | AMANDA L PERKINS
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Gender | Female
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1 PERIMETER PARK S STE 195A
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2327
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Country | US
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Telephone | 866-849-0692
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Fax |
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Provider Business Mailing Address
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Address Line | 148 J C MAULDIN HWY
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City | KILLEN
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State | AL
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Zip | 35645-9106
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Country | US
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Telephone |
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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 | 1-181546
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License Number State | AL
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