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General NPI Number Information
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NPI Number | 1821342536
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Entity Type | Individual
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Provider Name | AMY KATHLEEN SPENCER DNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5301 WILKINSON BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28208-5455
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Country | US
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Telephone | 704-316-6561
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 LAKEVIEW DR
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City | PINEVILLE
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State | NC
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Zip | 28134-7578
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Country | US
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Telephone | 708-203-9030
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 17134
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5012116
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License Number State | NC
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