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General NPI Number Information
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NPI Number | 1548961212
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Entity Type | Individual
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Provider Name | AMANDA MARGARET SIM BSN
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Gender | Female
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Dates
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Enumeration Date | 03/10/2023
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 18300 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4105
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Country | US
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Telephone | 818-885-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 1136 N COLUMBUS AVE APT 118
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City | GLENDALE
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State | CA
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Zip | 91202-2301
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Country | US
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Telephone | 213-522-6497
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95179935
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License Number State | CA
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