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General NPI Number Information
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NPI Number | 1790632289
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Entity Type | Individual
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Provider Name | AMANDA BRADSHAW APRN, WHNP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 410 CELEBRATION PL STE 208
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City | CELEBRATION
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State | FL
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Zip | 34747-5434
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Country | US
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Telephone | 877-800-0239
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Fax |
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Provider Business Mailing Address
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Address Line | 2906 LAMPP RD
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City | PLANT CITY
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State | FL
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Zip | 33565-2626
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Country | US
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Telephone | 813-763-7672
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 11045856
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License Number State | FL
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