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General NPI Number Information
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NPI Number | 1750932430
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Entity Type | Individual
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Provider Name | AMANDA FELIX DNP, PMHNP-BC, AGNP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 4701 SANGAMORE RD STE N100
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City | BETHESDA
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State | MD
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Zip | 20816-2558
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Country | US
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Telephone | 240-484-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 324 MAIN ST. #523
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City | LAUREL
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State | MD
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Zip | 20725-0523
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1048146
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024184792
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R209751
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License Number State | MD
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