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General NPI Number Information
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NPI Number | 1548222151
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Entity Type | Individual
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Provider Name | AMBER R ATWATER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 8603 WESTWOOD CENTER DR STE 320
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City | VIENNA
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State | VA
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Zip | 22182-2230
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Country | US
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Telephone | 703-570-1192
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Fax | 703-382-6654
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Provider Business Mailing Address
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Address Line | PO BOX 64
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City | GREAT FALLS
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State | VA
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Zip | 22066-0064
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Country | US
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Telephone | 703-570-1192
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2008-00854
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0101271787
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License Number State | VA
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