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General NPI Number Information
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NPI Number | 1689467722
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Entity Type | Individual
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Provider Name | AMBER LYNN DAMATO FOX APRN
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Gender | Female
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 14861 NW US HIGHWAY 441
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City | ALACHUA
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State | FL
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Zip | 32615-8203
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Country | US
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Telephone | 386-462-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 302 SW TIMBERLAND CT
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City | LAKE CITY
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State | FL
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Zip | 32024-0649
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Country | US
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Telephone | 386-965-6570
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11039519
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License Number State | FL
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