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General NPI Number Information
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NPI Number | 1548122062
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Entity Type | Individual
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Provider Name | AMY CHILDRESS APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2630 EXPOSITION BLVD
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City | AUSTIN
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State | TX
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Zip | 78703-1700
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Country | US
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Telephone | 512-900-2240
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Fax | 512-900-2240
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Provider Business Mailing Address
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Address Line | 1711 DUKE AVE
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City | AUSTIN
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State | TX
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Zip | 78757-1317
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Country | US
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Telephone | 512-695-9803
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Fax | 512-695-9803
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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 | 1215741
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License Number State | TX
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