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General NPI Number Information
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NPI Number | 1265903421
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Entity Type | Individual
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Provider Name | AMANDA NASEEF VOLKER NP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 12195 HIGHWAY 92 STE 144
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City | WOODSTOCK
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State | GA
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Zip | 30188-3603
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Country | US
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Telephone | 678-540-7827
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Fax |
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Provider Business Mailing Address
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Address Line | 1796 BRITTANY CHASE NW
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City | KENNESAW
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State | GA
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Zip | 30152-6902
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Country | US
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Telephone | 513-919-7284
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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 | RN227490
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License Number State | GA
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