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General NPI Number Information
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NPI Number | 1689976391
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Entity Type | Individual
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Provider Name | AMANDA MARIE SAUER WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 6420 CLAYTON RD
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1811
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Country | US
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Telephone | 314-768-8675
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Fax |
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Provider Business Mailing Address
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Address Line | 7705 STANFORD AVE
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City | UNIVERSITY CITY
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State | MO
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Zip | 63130-2842
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Country | US
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Telephone | 618-520-8955
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2010039664
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License Number State | MO
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