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General NPI Number Information
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NPI Number | 1467177287
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Entity Type | Individual
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Provider Name | AMY BICKFORD FNP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 83 CAMBRIDGE ST STE 1C
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City | BURLINGTON
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State | MA
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Zip | 01803-4181
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Country | US
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Telephone | 781-730-3270
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Fax |
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Provider Business Mailing Address
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Address Line | 6804 COVERED BRIDGE DR APT 12106
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City | AUSTIN
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State | TX
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Zip | 78736-0017
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Country | US
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Telephone | 970-420-0206
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1091399
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License Number State | TX
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