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General NPI Number Information
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NPI Number | 1326858374
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Entity Type | Individual
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Provider Name | AMY PANG HAMTAK DNP, APRN-CNS
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Gender | Female
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Dates
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Enumeration Date | 01/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 75 PRINGLE WAY STE 901
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City | RENO
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State | NV
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Zip | 89502-1464
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Country | US
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Telephone | 775-982-2204
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Fax | 775-982-3316
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Provider Business Mailing Address
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Address Line | 75 PRINGLE WAY STE 901
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City | RENO
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State | NV
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Zip | 89502-1464
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Country | US
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Telephone | 775-982-2204
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Fax | 775-982-3316
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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 | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 845074
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License Number State | NV
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