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General NPI Number Information
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NPI Number | 1639022932
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Entity Type | Individual
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Provider Name | AMY SIGNORE DNP, RN
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 1 SAINT ELIZABETH BLVD
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City | O FALLON
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State | IL
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Zip | 62269-1099
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Country | US
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Telephone | 618-234-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 917 THORNBURY PL
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City | O FALLON
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State | IL
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Zip | 62269-6811
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Country | US
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Telephone | 321-626-5452
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 2022031105
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 041443851
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License Number State | IL
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