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General NPI Number Information
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NPI Number | 1306266085
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Entity Type | Individual
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Provider Name | AMANDA KAY HUNDLEY CNP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 3021 W 70TH ST
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City | SHREVEPORT
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State | LA
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Zip | 71108-4603
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Country | US
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Telephone | 318-507-3140
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Fax |
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Provider Business Mailing Address
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Address Line | 3021 W 70TH ST
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City | SHREVEPORT
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State | LA
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Zip | 71108-4603
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Country | US
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Telephone | 318-507-3140
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP129738
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R865820
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP08174
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License Number State | LA
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