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General NPI Number Information
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NPI Number | 1427859560
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Entity Type | Individual
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Provider Name | AMANDA MARIE GRONNIGER PHARMD, CPH, BCCP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 7400 SW 87TH AVE STE 100
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City | MIAMI
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State | FL
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Zip | 33173-5458
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Country | US
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Telephone | 786-204-4499
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Fax | 786-591-6085
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Provider Business Mailing Address
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Address Line | 7400 SW 87TH AVE STE 100
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City | MIAMI
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State | FL
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Zip | 33173-5458
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Country | US
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Telephone | 786-662-7159
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-116335
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2014029952
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 1835C0206X
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Taxonomy Name | Cardiology Pharmacist
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License Number | PU9616
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS52329
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License Number State | FL
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