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General NPI Number Information
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NPI Number | 1427326545
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Entity Type | Individual
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Provider Name | AMANDA NICOLE FITTERER RDN, LDN, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2011
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 726 N MAIN ST STE 744
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-2029
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Country | US
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Telephone | 919-238-9136
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Fax |
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Provider Business Mailing Address
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Address Line | 726 N MAIN ST STE 744
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-2029
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Country | US
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Telephone | 919-238-9136
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L009615
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | LAT-2890
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License Number State | NC
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