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General NPI Number Information
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NPI Number | 1649059130
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Entity Type | Individual
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Provider Name | AMANDA ARNOLD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 2911 53RD AVE E
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City | BRADENTON
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State | FL
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Zip | 34203-4312
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Country | US
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Telephone | 941-752-0802
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Fax | 941-752-2084
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Provider Business Mailing Address
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Address Line | PO BOX 1524
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City | PALMETTO
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State | FL
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Zip | 34220-1524
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Country | US
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Telephone | 727-743-3549
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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