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General NPI Number Information
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NPI Number | 1548711633
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Entity Type | Individual
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Provider Name | AMANDA CINQUEGRANO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 136 N SAN MATEO DR FL 2
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City | SAN MATEO
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State | CA
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Zip | 94401-2778
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Country | US
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Telephone | 650-348-1242
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Fax | 650-348-0788
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Provider Business Mailing Address
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Address Line | 3916 FERNWOOD ST
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City | SAN MATEO
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State | CA
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Zip | 94403-4163
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Country | US
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Telephone | 813-263-4905
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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 | ARNP9293637
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95013217
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License Number State | CA
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