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General NPI Number Information
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NPI Number | 1316517782
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Entity Type | Individual
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Provider Name | AMANDA MARIE HUFF DNP, CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 600 EAST BLVD
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City | ELKHART
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State | IN
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Zip | 46514-2483
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Country | US
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Telephone | 574-524-8130
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Fax | 574-524-8138
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Provider Business Mailing Address
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Address Line | 3245 HEALTH DR STE 100
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City | GRANGER
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State | IN
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Zip | 46530-1380
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Country | US
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Telephone | 574-647-6592
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Fax | 574-647-1821
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28209436A
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License Number State | IN
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