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General NPI Number Information
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NPI Number | 1467221168
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Entity Type | Individual
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Provider Name | AMANDA MARIE RIENSCHE LPN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 3323 159TH AVE NE
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City | SNOHOMISH
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State | WA
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Zip | 98290-0904
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Country | US
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Telephone | 360-364-5956
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Fax |
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Provider Business Mailing Address
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Address Line | 3323 159TH AVE NE
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City | SNOHOMISH
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State | WA
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Zip | 98290-0904
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP60466698
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-312985
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License Number State | WA
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