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General NPI Number Information
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NPI Number | 1396083432
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Entity Type | Individual
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Provider Name | MAAME AMANKWAH DNP/APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 1080 BLAIRFIED DRIVE
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City | ANTIOCH
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State | TN
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Zip | 37013
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Country | US
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Telephone | 615-243-5206
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 BLAIRFIELD DR
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City | ANTIOCH
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State | TN
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Zip | 37013
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Country | US
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Telephone | 615-243-5206
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 168789
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 17351
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License Number State | TN
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