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General NPI Number Information
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NPI Number | 1467199174
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Entity Type | Individual
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Provider Name | AMBER-MARIE ALEXANDRIA REDMOND
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Gender | Female
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Dates
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Enumeration Date | 05/14/2022
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 5206 MONROE ST
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City | TOLEDO
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State | OH
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Zip | 43623-4607
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Country | US
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Telephone | 567-206-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 7124 BROOKSIDE DR
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-9518
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Country | US
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Telephone | 419-467-4950
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0030613
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License Number State | OH
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