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General NPI Number Information
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NPI Number | 1336285626
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Entity Type | Individual
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Provider Name | AMANDA STINE DORN M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 101 EUROPA DRIVE SUITE 170
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City | CHAPEL HILL
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State | NC
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Zip | 27517
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Country | US
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Telephone | 919-928-0144
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Fax | 919-928-0145
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Provider Business Mailing Address
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Address Line | 101 EUROPA DRIVE SUITE 170
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City | CHAPEL HILL
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State | NC
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Zip | 27517
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Country | US
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Telephone | 919-928-0144
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Fax | 919-928-0145
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 200002392559
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2009-00817
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License Number State | NC
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