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General NPI Number Information
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NPI Number | 1316519382
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Entity Type | Individual
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Provider Name | AMANDA MARIE BAHR APRN-WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2021
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 5502 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-8747
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Country | US
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Telephone | 956-362-4060
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | PHARR
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State | TX
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Zip | 78577-1614
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Country | US
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Telephone | 956-362-2229
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Fax | 956-362-4088
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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 | 1113136
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 1113136
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License Number State | TX
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