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General NPI Number Information
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NPI Number | 1407474497
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Entity Type | Individual
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Provider Name | AMANDA SCOLA PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1 LAWSON LN STE 340
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City | BURLINGTON
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State | VT
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Zip | 05401-8445
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Country | US
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Telephone | 413-297-2717
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Fax |
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Provider Business Mailing Address
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Address Line | 7216 OLD BUG LN
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City | OOLTEWAH
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State | TN
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Zip | 37363-5589
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Country | US
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Telephone | 413-297-2717
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 083080-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP201269
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License Number State | ME
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