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NPI 1669148474

NPI 1669148474 : AMANDA MICHELE HILL FNP-BC : OCOEE, FL

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General NPI Number Information
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    NPI Number           |    1669148474
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA MICHELE HILL FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2021
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    Last Update Date     |    03/11/2024
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Provider Practice Location Address
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    Address Line         |    1134 KELTON AVE STE B 
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    City                 |    OCOEE
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    State                |    FL
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    Zip                  |    34761-3100
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    Country              |    US
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    Telephone            |    352-536-8644
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1134 KELTON AVE STE B 
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    City                 |    OCOEE
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    State                |    FL
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    Zip                  |    34761-3100
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    APRN11004990
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    APRN11004990
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    License Number State |    FL
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