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General NPI Number Information
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NPI Number | 1770934713
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Entity Type | Individual
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Provider Name | AMANDA HARRIS
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Gender | Female
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 912 2ND ST NE STE 4
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City | HICKORY
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State | NC
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Zip | 28601-3880
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Country | US
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Telephone | 828-979-0955
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Fax | 833-450-6248
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Provider Business Mailing Address
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Address Line | 5810 WALNUT GROVE LN
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City | HICKORY
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State | NC
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Zip | 28602-8817
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Country | US
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Telephone | 828-979-0955
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Fax | 833-450-6248
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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 | 5008670
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License Number State | NC
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