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General NPI Number Information
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NPI Number | 1720870256
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Entity Type | Individual
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Provider Name | AMANDA CARTER PHELPS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 316 CHANDLER AVE
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City | EVANSVILLE
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State | IN
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Zip | 47713-1147
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Country | US
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Telephone | 812-436-4501
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Fax |
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Provider Business Mailing Address
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Address Line | 948 OSAGE DR
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City | HENDERSON
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State | KY
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Zip | 42420-2239
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Country | US
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Telephone | 270-577-5560
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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 | 4030128
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License Number State | KY
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