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General NPI Number Information
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NPI Number | 1578111696
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Entity Type | Individual
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Provider Name | AMANDA DAWN BOVEE CNP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2019
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 8231 MAIN ST STE M&E
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City | KINSMAN
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State | OH
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Zip | 44428-9514
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Country | US
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Telephone | 330-876-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 3637 MEDINA RD STE 320
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City | MEDINA
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State | OH
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Zip | 44256-8152
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Country | US
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Telephone | 330-723-2111
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Fax | 216-294-1763
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.025157
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License Number State | OH
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