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General NPI Number Information
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NPI Number | 1528553583
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Entity Type | Individual
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Provider Name | AMANDA NADEAN ASHTON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 214 NACOGDOCHES ST
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City | CENTER
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State | TX
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Zip | 75935-3854
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Country | US
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Telephone | 936-598-6315
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416
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City | CENTER
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State | TX
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Zip | 75935-0416
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Country | US
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Telephone | 936-590-6307
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134102
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License Number State | TX
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