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General NPI Number Information
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NPI Number | 1598412777
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Entity Type | Individual
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Provider Name | AMANDA PAGE APRN, FNP-C, ENP-C
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Gender | Female
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-441-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 5552 STAPLETON DR
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City | DUNWOODY
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State | GA
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Zip | 30338-2920
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Country | US
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Telephone | 678-570-4082
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN297971
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License Number State | GA
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