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General NPI Number Information
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NPI Number | 1871571315
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Entity Type | Individual
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Provider Name | ROBERT JULIO AMAYA FNP
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 928 CHURCHILL DR
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4287
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Country | US
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Telephone | 757-319-6673
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Fax | 757-445-5443
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Provider Business Mailing Address
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Address Line | 928 CHURCHILL DR
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City | CHESAPEAKE
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State | VA
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Zip | 23322-4287
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Country | US
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Telephone | 757-319-6673
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Fax | 757-445-5443
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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 | 253546
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License Number State | TX
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