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General NPI Number Information
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NPI Number | 1447708094
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Entity Type | Individual
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Provider Name | AMY JOY EADY NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 3836 DEER RIDGE TRL
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City | BEULAH
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State | MI
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Zip | 49617-9638
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Country | US
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Telephone | 586-306-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 3836 DEER RIDGE TRL
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City | BEULAH
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State | MI
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Zip | 49617-9638
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Country | US
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Telephone | 586-306-8770
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 95004918
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 95004918
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95004918
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004918
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024188518
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704281115
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License Number State | MI
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