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General NPI Number Information
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NPI Number | 1477036192
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Entity Type | Individual
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Provider Name | AMANDA OBER MSN FNP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2018
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1840 SOUTH STREET 1ST FL
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City | PHILADELPHIA
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State | PA
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Zip | 19146-7411
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Country | US
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Telephone | 215-893-6200
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Fax | 215-893-6215
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Provider Business Mailing Address
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Address Line | 800 WALNUT STREET 17TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5109
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Country | US
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Telephone | 215-829-3523
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Fax | 215-829-6023
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP019490
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP019490
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License Number State | PA
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