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General NPI Number Information
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NPI Number | 1871429902
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Entity Type | Individual
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Provider Name | AMBER RENEE IVORY DANIELS CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 820 TURNPIKE AVE
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City | CLEARFIELD
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State | PA
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Zip | 16830-1233
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Country | US
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Telephone | 814-765-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 1148 ELIZABETH ST
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City | COALPORT
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State | PA
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Zip | 16627-8829
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Country | US
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Telephone | 814-592-8124
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP036192
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License Number State | PA
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