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General NPI Number Information
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NPI Number | 1669367686
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Entity Type | Individual
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Provider Name | AMANDA M BARBARINO
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/15/2025
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Provider Practice Location Address
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Address Line | 1177 SUMMER ST STE 5
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City | STAMFORD
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State | CT
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Zip | 06905-5576
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Country | US
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Telephone | 203-353-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 71 PINE HILL AVE APT A
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City | STAMFORD
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State | CT
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Zip | 06906-1537
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Country | US
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Telephone | 203-962-2489
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Fax | 203-962-2489
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025028331
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License Number State | CT
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