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General NPI Number Information
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NPI Number | 1487239133
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Entity Type | Individual
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Provider Name | AMANDA ALEXANDER WHNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2021
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 2216 BUENAVENTURA BLVD
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City | REDDING
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State | CA
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Zip | 96001-3838
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Country | US
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Telephone | 530-338-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 16250 PENNER DR
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City | RED BLUFF
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State | CA
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Zip | 96080-7933
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Country | US
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Telephone | 530-680-9714
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95016875
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License Number State | CA
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