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General NPI Number Information
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NPI Number | 1548845332
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Entity Type | Individual
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Provider Name | AMANDA LOUISE STANHOPE CNP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3400 W 66TH ST STE 385
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City | EDINA
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State | MN
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Zip | 55435-2197
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Country | US
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Telephone | 952-927-6561
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Fax | 952-927-6569
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Provider Business Mailing Address
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Address Line | 19 BIRCHWOOD LN
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City | SAINT PAUL
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State | MN
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Zip | 55110-1609
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Country | US
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Telephone | 262-442-7658
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 8047
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License Number State | MN
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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 | 8047
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License Number State | MN
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