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General NPI Number Information
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NPI Number | 1346864105
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Entity Type | Individual
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Provider Name | AMANDA JO KEFFER
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Gender | Female
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Dates
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Enumeration Date | 06/07/2020
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 600 RUGH ST
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City | GREENSBURG
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State | PA
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Zip | 15601-5630
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Country | US
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Telephone | 412-322-2129
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 PARK PLACE DR STE 108
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City | WASHINGTON
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State | PA
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Zip | 15301-2068
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Country | US
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Telephone | 724-300-8028
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Fax |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 71441
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP022136
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71441
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN657003
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License Number State | PA
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