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General NPI Number Information
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NPI Number | 1770351892
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Entity Type | Individual
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Provider Name | AMANDA PATERSON
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Gender | Female
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 620 HOWARD AVE
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City | ALTOONA
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State | PA
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Zip | 16601-4804
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Country | US
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Telephone | 814-889-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 2764 WHITESEL RD
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City | JAMES CREEK
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State | PA
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Zip | 16657-8640
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Country | US
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Telephone | 814-308-4551
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 703000
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License Number State | PA
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