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General NPI Number Information
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NPI Number | 1851281356
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Entity Type | Individual
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Provider Name | AMANDA ERIN PURSLEY
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 408 N KENDRICK ST STE 4
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-1582
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Country | US
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Telephone | 928-504-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N PACIFIC ST APT 206
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City | SEATTLE
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State | WA
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Zip | 98103-9169
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Country | US
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Telephone | 724-216-7571
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 235169
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License Number State | AZ
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