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General NPI Number Information
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NPI Number | 1578425724
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Entity Type | Individual
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Provider Name | AMANDA LOURINIA NP
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 13710 ST FRANCIS BLVD STE 606
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-3267
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Country | US
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Telephone | 804-794-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 9513 WATERFALL COVE DR
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City | CHESTERFIELD
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State | VA
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Zip | 23832-9312
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Country | US
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Telephone | 804-833-4769
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 24195480
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License Number State | VA
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