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General NPI Number Information
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NPI Number | 1285447409
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Entity Type | Individual
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Provider Name | AMANDA WOODS KOVAR
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Gender | Female
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1406 TUSCULUM BLVD STE 2004
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City | GREENEVILLE
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State | TN
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Zip | 37745-4341
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Country | US
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Telephone | 423-783-5500
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Fax | 423-783-5535
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 35756
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11028786
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 35756
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License Number State | TN
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