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General NPI Number Information
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NPI Number | 1285425991
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Entity Type | Individual
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Provider Name | AMANDA RENEE O'CONNOR APRN
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Gender | Female
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 200 SE HOSPITAL AVE # 2346
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City | STUART
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State | FL
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Zip | 34994-2346
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Country | US
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Telephone | 561-339-0867
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Fax |
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Provider Business Mailing Address
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Address Line | 12611 63RD LN N
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-2033
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11040550
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11040550
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License Number State | FL
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