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General NPI Number Information
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NPI Number | 1164850178
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Entity Type | Individual
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Provider Name | AMY A. AMPUJA NP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 47 EDMAR RD
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City | EAST FALMOUTH
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State | MA
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Zip | 02536
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Country | US
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Telephone | 207-332-9590
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Fax |
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Provider Business Mailing Address
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Address Line | 47 EDMAR RD
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City | EAST FALMOUTH
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State | MA
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Zip | 02536-4633
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Country | US
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Telephone | 207-332-9590
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 005565
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CNP151186
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN2300488
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License Number State | MA
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