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General NPI Number Information
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NPI Number | 1326440199
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Entity Type | Individual
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Provider Name | AMANDA DREVE P.A.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 330 22ND AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1844
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Country | US
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Telephone | 615-320-0007
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Fax | 615-902-3983
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Provider Business Mailing Address
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Address Line | PO BOX 210127
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City | NASHVILLE
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State | TN
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Zip | 37221-0127
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Country | US
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Telephone | 615-383-2443
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Fax | 615-383-0853
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 2620
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License Number State | TN
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