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General NPI Number Information
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NPI Number | 1679557987
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Entity Type | Individual
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Provider Name | JENNIFER CATHERINE AMON CPNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 143 LONGWATER DR
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City | NORWELL
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State | MA
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Zip | 02061-1683
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Country | US
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Telephone | 781-878-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 143 LONGWATER DR
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City | NORWELL
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State | MA
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Zip | 02061-1683
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Country | US
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Telephone | 781-878-5200
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 300264
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 300264
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 300264
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN1008418
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP60023099
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN2299302
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License Number State | MA
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