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General NPI Number Information
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NPI Number | 1184173205
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Entity Type | Individual
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Provider Name | AMANDA CLAIRE LLOYD FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 1075 OAKLEAF PLANTATION PKWY STE 108
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City | ORANGE PARK
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State | FL
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Zip | 32065-3626
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Country | US
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Telephone | 904-282-4565
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Fax | 904-282-4225
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Provider Business Mailing Address
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Address Line | 1075 OAKLEAF PLANTATION PKWY STE 108
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City | ORANGE PARK
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State | FL
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Zip | 32065-3626
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Country | US
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Telephone | 904-282-4565
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Fax | 904-282-4225
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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 | APRN11019060
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11019060
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22646
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024174000
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License Number State | VA
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