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General NPI Number Information
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NPI Number | 1881155109
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Entity Type | Individual
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Provider Name | MARIA AMADI AGNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 3804 POPLAR HILL RD STE D
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5532
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Country | US
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Telephone | 757-210-9381
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Fax |
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Provider Business Mailing Address
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Address Line | 1245G CEDAR RD # 225
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7103
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 0024177312
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024177312
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024177312
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License Number State | VA
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