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General NPI Number Information
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NPI Number | 1609590520
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Entity Type | Individual
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Provider Name | AMANDA MARIE MAINGI WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2304 WESVILL CT STE 210
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City | RALEIGH
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State | NC
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Zip | 27607-2973
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Country | US
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Telephone | 919-636-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 415 SATINWOOD DR
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City | APEX
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State | NC
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Zip | 27502-7167
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Country | US
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Telephone | 980-621-1379
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | MAIN-HG5O0
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License Number State | NC
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