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General NPI Number Information
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NPI Number | 1285552778
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Entity Type | Individual
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Provider Name | AMYRE NEWBERN RN
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Gender | Female
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 10415 W WARREN AVE
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City | DEARBORN
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State | MI
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Zip | 48126-1660
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Country | US
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Telephone | 313-878-2845
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 RESERVOIR RD NW
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City | WASHINGTON
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State | DC
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Zip | 20007-2111
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 4704397774
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License Number State | MI
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