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General NPI Number Information
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NPI Number | 1760772321
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Entity Type | Individual
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Provider Name | JUSTIN MICHAEL-ALLEN AMADOR FNP
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Gender | Male
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 808 W 58TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90037-3632
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Country | US
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Telephone | 323-541-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 808 W 58TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90037-3632
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 207265
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202204598NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61379785
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 853522
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 356085
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004179
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License Number State | CA
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