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General NPI Number Information
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NPI Number | 1588230411
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Entity Type | Individual
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Provider Name | AMBER WELLS NP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 203 HOSPITAL DR STE 201
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City | GLEN BURNIE
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State | MD
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Zip | 21061-6904
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Country | US
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Telephone | 410-787-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 ORANGE AVE E
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City | TALLAHASSEE
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State | FL
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Zip | 32311-6146
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AC003733
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License Number State | MD
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