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General NPI Number Information
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NPI Number | 1770328296
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Entity Type | Individual
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Provider Name | AMANDA E JAMES
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Gender | Female
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Dates
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Enumeration Date | 06/26/2024
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 3671 BUSINESS DR STE 110
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City | SACRAMENTO
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State | CA
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Zip | 95820-2233
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Country | US
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Telephone | 916-732-8966
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Fax |
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Provider Business Mailing Address
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Address Line | 307 LEIDESDORFF ST
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City | FOLSOM
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State | CA
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Zip | 95630-2632
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Country | US
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Telephone | 916-934-3974
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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