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General NPI Number Information
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NPI Number | 1528525458
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Entity Type | Individual
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Provider Name | AMANDA CHIN NP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2071 SAN JOAQUIN HILLS RD
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-6505
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Country | US
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Telephone | 949-759-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 24422 AVENIDA DE LA CARLOTA STE 300
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3628
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Country | US
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Telephone | 949-599-2434
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95025128
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License Number State | CA
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