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General NPI Number Information
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NPI Number | 1275873671
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Entity Type | Individual
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Provider Name | MISS AMANDA J WELLS
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Gender | Female
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 1410 N AUGUSTA ST
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City | STAUNTON
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State | VA
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Zip | 24401-2401
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Country | US
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Telephone | 540-886-6233
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Fax | 540-213-7064
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Provider Business Mailing Address
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Address Line | 1388 5TH ST APT B
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City | WAYNESBORO
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State | VA
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Zip | 22980-4292
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Country | US
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Telephone | 276-790-2258
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | VA
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