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General NPI Number Information
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NPI Number | 1407516438
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Entity Type | Individual
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Provider Name | AMANDA BONTEMPO PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 2055 HOSPITAL DR STE 300
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City | BATAVIA
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State | OH
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Zip | 45103-1981
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Country | US
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Telephone | 513-732-5373
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Fax |
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Provider Business Mailing Address
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Address Line | 9194 SARATOGA TER
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City | PICKERINGTON
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State | OH
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Zip | 43147-8231
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Country | US
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Telephone | 614-361-0432
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.007084RX
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License Number State | OH
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