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General NPI Number Information
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NPI Number | 1366163610
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Entity Type | Individual
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Provider Name | AMBER NICOLE CORE RD
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Gender | Female
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 20325 N 51ST AVE STE 126
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City | GLENDALE
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State | AZ
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Zip | 85308-5677
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Country | US
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Telephone | 602-341-5248
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Fax | 855-838-4958
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-685-8800
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Fax | 614-293-0495
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD.09882
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License Number State | OH
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