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General NPI Number Information
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NPI Number | 1467314856
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Entity Type | Individual
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Provider Name | AMBER MARIE HANNIBAL APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3014 E BUSINESS 190
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City | COPPERAS COVE
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State | TX
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Zip | 76522-2504
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Country | US
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Telephone | 254-577-4384
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Fax |
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Provider Business Mailing Address
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Address Line | 661 COUNTY ROAD 3371 661 COUNTY RD 3371
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City | KEMPNER
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State | TX
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Zip | 76539-3734
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Country | US
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Telephone | 916-770-7374
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Fax | 916-770-7374
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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 | 1215208
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License Number State | TX
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