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General NPI Number Information
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NPI Number | 1619611258
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Entity Type | Individual
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Provider Name | AMANDA MCNEFF
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Gender | Female
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 17888 MACK AVE
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City | GROSSE POINTE
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State | MI
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Zip | 48230-6234
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Country | US
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Telephone | 313-670-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 9921 LOVELAND ST
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City | LIVONIA
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State | MI
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Zip | 48150-2731
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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 | 4704248106
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704248106
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License Number State | MI
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