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General NPI Number Information
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NPI Number | 1457511321
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Entity Type | Individual
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Provider Name | AMANDA LEE RUXTON DO
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Gender | Female
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2522 W 15TH AVE
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City | EMPORIA
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State | KS
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Zip | 66801-6102
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Country | US
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Telephone | 620-208-6105
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Fax | 620-343-2828
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Provider Business Mailing Address
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Address Line | 2522 W 15TH AVE
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City | EMPORIA
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State | KS
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Zip | 66801-6102
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Country | US
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Telephone | 620-208-6105
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Fax | 620-343-2828
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-37273
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License Number State | KS
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