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General NPI Number Information
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NPI Number | 1790601227
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Entity Type | Individual
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Provider Name | AMANDA WARNER
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1588 DELGANY ST
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City | COLUMBUS
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State | OH
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Zip | 43228-3419
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Country | US
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Telephone | 740-490-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 1588 DELGANY ST
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City | COLUMBUS
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State | OH
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Zip | 43228-3419
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | PRS.007891
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License Number State |
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