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General NPI Number Information
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NPI Number | 1649049719
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Entity Type | Individual
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Provider Name | AMANCIA NORMIL
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Gender | Female
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Dates
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Enumeration Date | 12/29/2023
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 4601 N HIGHWAY 19A
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City | MOUNT DORA
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State | FL
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Zip | 32757-2039
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Country | US
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Telephone | 954-884-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 700 NE 155TH TER
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City | MIAMI
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State | FL
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Zip | 33162-5241
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Country | US
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Telephone | 786-380-2233
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11029975
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License Number State | FL
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