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General NPI Number Information
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NPI Number | 1184176984
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Entity Type | Individual
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Provider Name | AMANDA MARIE ALLMACHER DNP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 50 E CANFIELD ST STE 101-S
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City | DETROIT
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State | MI
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Zip | 48201-1804
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Country | US
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Telephone | 313-577-8840
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Fax | 313-577-9151
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Provider Business Mailing Address
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Address Line | 1560 E MAPLE RD
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City | TROY
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State | MI
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Zip | 48083-1135
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Country | US
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Telephone | 248-581-5729
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4704292520
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License Number State | MI
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