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NPI 1770353633

NPI 1770353633 : AMANDA HOPE DUNBAR : ASHLAND, KY

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General NPI Number Information
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    NPI Number           |    1770353633
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA HOPE DUNBAR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/03/2024
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    613 23RD ST STE G10 
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    City                 |    ASHLAND
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    State                |    KY
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    Zip                  |    41101-2886
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    Country              |    US
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    Telephone            |    606-408-5864
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1340 HAL GREER BLVD 
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    City                 |    HUNTINGTON
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    State                |    WV
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    Zip                  |    25701-3804
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    117625
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    4038625
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    License Number State |    KY
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