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General NPI Number Information
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NPI Number | 1366236499
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Entity Type | Individual
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Provider Name | JEFFREY PAUL AMUNDSON RN
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Gender | Male
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1250 S CEDAR CREST BLVD STE 205
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City | ALLENTOWN
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State | PA
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Zip | 18103-6271
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Country | US
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Telephone | 610-402-9116
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone | 484-884-5400
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Fax | 484-884-0699
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP033977
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN690860
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License Number State | PA
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