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General NPI Number Information
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NPI Number | 1356726020
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Entity Type | Individual
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Provider Name | AMBER D ANDERSON APRN
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 372 AVIGNON AVE
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City | SPRINGDALE
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State | AR
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Zip | 72764-7033
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Country | US
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Telephone | 479-445-3739
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Fax |
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Provider Business Mailing Address
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Address Line | 3232 N NORTHHILLS BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4005
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Country | US
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Telephone | 479-587-1700
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | A004487
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License Number State | AR
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