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General NPI Number Information
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NPI Number | 1528980430
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Entity Type | Individual
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Provider Name | AMANDA CORINE ANDERSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 4035 S RIVERPOINT PKWY
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City | PHOENIX
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State | AZ
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Zip | 85040-0723
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Country | US
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Telephone | 678-789-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 12809 W SELLS DR
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-6522
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Country | US
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Telephone | 678-789-3777
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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 | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 238669
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 238669
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 238669
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License Number State | AZ
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