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General NPI Number Information
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NPI Number | 1295239077
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Entity Type | Individual
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Provider Name | AMANDA LEIGH MCKENNA MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 501 W 14TH ST FL 4
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-623-3475
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Fax | 302-661-3070
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Provider Business Mailing Address
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Address Line | 501 W 14TH ST FL 4
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-623-3475
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Fax | 302-661-3070
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD486296
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0027528
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TRN26268
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD486296
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME141665
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | C1-0027528
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License Number State | DE
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