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General NPI Number Information
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NPI Number | 1215800933
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Entity Type | Individual
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Provider Name | AMANDA LEE KILLIAN CNP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2201 S DOUGLAS HWY
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City | GILLETTE
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State | WY
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Zip | 82718-5407
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Country | US
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Telephone | 307-370-1574
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 DILLON CT
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City | GILLETTE
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State | WY
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Zip | 82718-6561
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Country | US
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Telephone | 307-299-7282
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57529
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License Number State | WY
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