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General NPI Number Information
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NPI Number | 1487985438
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Entity Type | Individual
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Provider Name | AMANDA MAE RIZK CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 106 PARK DR BATH COMMUNITY HOSPITAL
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City | HOT SPRINGS
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State | VA
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Zip | 24445-2921
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Country | US
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Telephone | 540-839-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX Z BATH COMMUNITY HOSPITAL
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City | HOT SPRINGS
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State | VA
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Zip | 24445-0750
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Country | US
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Telephone | 540-839-7000
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9301633
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 87330
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024170863
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License Number State | VA
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