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General NPI Number Information
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NPI Number | 1518900570
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Entity Type | Individual
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Provider Name | AMY MUNCY NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 260 S MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-1520
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Country | US
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Telephone | 606-437-7327
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Fax | 606-432-9428
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Provider Business Mailing Address
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Address Line | PO BOX 1475
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City | WILLIAMSON
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State | WV
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Zip | 25661-1475
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Country | US
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Telephone | 304-235-3993
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Fax | 304-235-3993
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 56357
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 56357
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License Number State | WV
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