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General NPI Number Information
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NPI Number | 1871118513
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Entity Type | Individual
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Provider Name | AMANDA CHRISTI CRONLUND RN, MSN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 258 PATTERSON RD
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City | WESTMINSTER
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State | SC
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Zip | 29693-5740
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Country | US
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Telephone | 864-718-5355
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Fax |
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Provider Business Mailing Address
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Address Line | 258 PATTERSON RD
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City | WESTMINSTER
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State | SC
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Zip | 29693-5740
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Country | US
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Telephone | 864-718-5355
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 24721
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License Number State | SC
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Taxonomy #2
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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 | 224926
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 69908
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24721
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License Number State | SC
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