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General NPI Number Information
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NPI Number | 1417839176
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Entity Type | Individual
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Provider Name | AMY WARE NP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 30 MARK WEST SPRINGS RD
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City | SANTA ROSA
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State | CA
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Zip | 95403-1436
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Country | US
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Telephone | 707-779-9691
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Fax | 707-573-5360
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Provider Business Mailing Address
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Address Line | 325 UNIVERSITY ST
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City | HEALDSBURG
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State | CA
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Zip | 95448-4228
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Country | US
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Telephone | 707-779-9691
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | NPF95033138
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License Number State | CA
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