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General NPI Number Information
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NPI Number | 1841622610
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Entity Type | Individual
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Provider Name | AMANDA MARIA DENAPLES NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1550 MAIN ST STE 1
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City | DICKSON CTY
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State | PA
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Zip | 18447-1345
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Country | US
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Telephone | 570-498-7234
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Fax | 570-550-0869
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Provider Business Mailing Address
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Address Line | 110 SHELBY CIR
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City | OLD FORGE
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State | PA
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Zip | 18518-1049
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Country | US
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Telephone | 570-498-7234
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP013016
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License Number State | PA
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