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General NPI Number Information
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NPI Number | 1275344624
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Entity Type | Individual
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Provider Name | AMANDA CHRISTINE TOBEY FRIES DNP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 6000 NEW WAY
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-9382
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Country | US
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Telephone | 541-884-1841
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Fax |
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Provider Business Mailing Address
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Address Line | 5551 GLENRIDGE WAY
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-3982
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Country | US
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Telephone | 775-870-2761
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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 | 884590
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License Number State | NV
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