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General NPI Number Information
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NPI Number | 1720094980
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Entity Type | Individual
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Provider Name | AMANDA HELEN FEUSNER MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 3231 MCMULLEN BOOTH RD
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City | SAFETY HARBOR
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State | FL
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Zip | 34695
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Country | US
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Telephone | 727-725-6100
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Fax | 727-725-6118
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Provider Business Mailing Address
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Address Line | 421 20TH AVE
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City | INDIAN ROCKS BEACH
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State | FL
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Zip | 33785-2929
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Country | US
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Telephone | 727-517-3881
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Fax | 727-507-3618
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME70498
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License Number State | FL
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