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General NPI Number Information
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NPI Number | 1174100606
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Entity Type | Individual
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Provider Name | AMANDA LEIGH NORTON ND
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 1744 SE HAWTHORNE BLVD
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City | PORTLAND
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State | OR
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Zip | 97214-3723
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Country | US
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Telephone | 503-432-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 26360 SW CANYON CREEK RD APT 302
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City | WILSONVILLE
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State | OR
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Zip | 97070-8670
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Country | US
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Telephone | 303-859-7667
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT61129418
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License Number State | WA
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