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General NPI Number Information
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NPI Number | 1760401335
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Entity Type | Individual
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Provider Name | AMANDA LEE WOOD-FRIEND FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 2 DOBSON WAY
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City | MERRIMACK
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State | NH
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Zip | 03054-4340
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Country | US
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Telephone | 603-471-6069
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Fax | 603-471-6068
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Provider Business Mailing Address
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Address Line | 111 NEW HAMPSHIRE AVE STE 2
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City | PORTSMOUTH
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State | NH
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Zip | 03801-2864
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Country | US
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Telephone | 603-319-6223
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Fax | 603-319-8308
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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 | 054091-23
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License Number State | NH
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