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General NPI Number Information
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NPI Number | 1174810089
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Entity Type | Individual
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Provider Name | AMANDA L ALLEN FNP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 187 PR 4060
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City | LAMPASAS
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State | TX
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Zip | 76550-4071
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Country | US
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Telephone | 512-556-3621
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Fax | 512-556-6594
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Provider Business Mailing Address
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Address Line | 207 W AVENUE E
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City | LAMPASAS
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State | TX
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Zip | 76550-1820
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Country | US
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Telephone | 512-556-3621
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Fax | 512-556-6594
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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 | 710344
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License Number State | TX
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