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General NPI Number Information
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NPI Number | 1417750555
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Entity Type | Individual
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Provider Name | AMANDA MARIE NEGOSLAWSKI APRN FNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2810 S HARDIN BLVD
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City | MCKINNEY
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State | TX
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Zip | 75072-7490
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Country | US
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Telephone | 972-548-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 MOUNTWELL DR
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City | MCKINNEY
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State | TX
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Zip | 75071-2281
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Country | US
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Telephone | 678-276-9243
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1193329
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License Number State | TX
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