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General NPI Number Information
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NPI Number | 1861292146
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Entity Type | Individual
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Provider Name | AMANDA ESLINGER
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Gender | Female
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 241 CORPORATE BLVD
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City | NORFOLK
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State | VA
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Zip | 23502-4975
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Country | US
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Telephone | 757-622-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 5251 EGYPT VALLEY AVE NE
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City | BELMONT
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State | MI
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Zip | 49306-9121
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0618003535
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License Number State | VA
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