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NPI 1326857863

NPI 1326857863 : AMANDA STRICKLIN APRN : MOUNTAIN HOME, AR

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General NPI Number Information
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    NPI Number           |    1326857863
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA STRICKLIN APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/30/2024
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    Last Update Date     |    01/31/2025
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Provider Practice Location Address
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    Address Line         |    228 BUCHER DR 
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    City                 |    MOUNTAIN HOME
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    State                |    AR
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    Zip                  |    72653-3400
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    Country              |    US
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    Telephone            |    870-425-4416
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    Fax                  |    870-425-8616
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Provider Business Mailing Address
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    Address Line         |    PO BOX 707 
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    City                 |    MOUNTAIN HOME
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    State                |    AR
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    Zip                  |    72654-0707
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    Country              |    US
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    Telephone            |    870-424-7070
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    Fax                  |    870-424-6616
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    231013
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    License Number State |    AR
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