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General NPI Number Information
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NPI Number | 1598228470
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Entity Type | Individual
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Provider Name | AMANDA GAYLE CECCHINI DO
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 855 W BRAMBLETON AVE
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City | NORFOLK
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State | VA
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Zip | 23510-1005
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Country | US
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Telephone | 757-446-5600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1980
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City | NORFOLK
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State | VA
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Zip | 23501-1980
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Country | US
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Telephone | 757-446-5600
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0102207599
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0102207599
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0102207599
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License Number State | VA
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