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General NPI Number Information
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NPI Number | 1487850129
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Entity Type | Individual
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Provider Name | AMANDA M BURKHALTER CPNP- PC/AC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 333 N SANTA ROSA
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 210-704-4841
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Fax | 210-704-4952
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Provider Business Mailing Address
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Address Line | 333 N. SANTA ROSA ST CCF BUILDING, 4TH FLOOR NEUROLOGY
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City | SAN ANTONIO
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State | TX
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Zip | 78207
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Country | US
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Telephone | 102-704-4841
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Fax | 102-704-4952
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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 | 657515
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP114044
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License Number State | TX
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