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General NPI Number Information
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NPI Number | 1720507270
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Entity Type | Individual
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Provider Name | AMANDA MARIE COX PA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 43 NEW SCOTLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3412
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Country | US
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Telephone | 518-262-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SHADYSIDE TER
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City | KINNELON
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State | NJ
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Zip | 07405-2187
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Country | US
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Telephone | 973-907-0017
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00484600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 021306
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License Number State | NY
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