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General NPI Number Information
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NPI Number | 1467342063
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Entity Type | Individual
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Provider Name | AMANDA MICHELLE LIZOTTE APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 32 STILES RD
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City | SALEM
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State | NH
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Zip | 03079-2892
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Country | US
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Telephone | 603-386-0100
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Fax | 603-386-0076
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Provider Business Mailing Address
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Address Line | 5 FAITH RD
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City | WINDHAM
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State | NH
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Zip | 03087-1554
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Country | US
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Telephone | 860-519-9850
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 874934
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 074600-21
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2306736
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 074600-23
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License Number State | NH
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