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General NPI Number Information
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NPI Number | 1407309800
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Entity Type | Individual
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Provider Name | AMNA KHAN HANDLEY M.S.N, BSN, RN, CIC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 198 RUTLEDGE DR NW
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City | SUGAR VALLEY
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State | GA
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Zip | 30746-5232
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Country | US
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Telephone | 706-625-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 675 HOMESTEAD LN
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City | TUSCALOOSA
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State | AL
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Zip | 35405-9749
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Country | US
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Telephone | 706-844-3365
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-179895
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License Number State | AL
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