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General NPI Number Information
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NPI Number | 1760243422
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Entity Type | Individual
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Provider Name | AMANDA EASTVOLD
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Gender | Female
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 1813 BRACKETT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-5040
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Country | US
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Telephone | 248-331-5477
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 TIMBER PATH
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City | MENOMONIE
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State | WI
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Zip | 54751-2780
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | WI
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