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General NPI Number Information
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NPI Number | 1841526076
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Entity Type | Individual
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Provider Name | AMANDA J WILLIAMS ARNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 1008 N PARROTT AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34972-2110
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Country | US
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Telephone | 863-623-5086
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Fax | 863-623-5093
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Provider Business Mailing Address
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Address Line | 1008 N PARROTT AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34972-2110
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Country | US
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Telephone | 863-623-5086
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Fax | 863-623-5093
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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 | RN9260832
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License Number State | FL
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