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General NPI Number Information
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NPI Number | 1306537311
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Entity Type | Individual
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Provider Name | AMANDA HELLWEGE WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 3600 NJ-66 #400
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-363-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 GREVE AVE APT B
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City | SPRING LAKE
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State | NJ
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Zip | 07762-2358
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Country | US
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Telephone | 732-272-5237
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 26NJ01417400
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License Number State | NJ
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