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General NPI Number Information
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NPI Number | 1568819662
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Entity Type | Individual
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Provider Name | AMANDA WESTMAN DO
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Gender | Female
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1911 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4131
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Country | US
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Telephone | 886-984-5211
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 BROAD ST # 7112
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7017
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Country | US
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Telephone | 517-256-0520
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5101024877
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20A23796
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License Number State | CA
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