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General NPI Number Information
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NPI Number | 1649759424
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Entity Type | Individual
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Provider Name | AMANDA L ATCHOO DNP, CNM, APRN
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Gender | Female
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Dates
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Enumeration Date | 08/12/2018
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 6885 BELFORT OAKS PL STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6284
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Country | US
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Telephone | 904-296-4200
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Fax | 855-618-2132
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Provider Business Mailing Address
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Address Line | PO BOX 748817
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City | ATLANTA
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State | GA
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Zip | 30374-8817
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Country | US
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Telephone | 813-286-0033
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Fax | 813-282-1806
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9479682
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN9479682
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License Number State | FL
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