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General NPI Number Information
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NPI Number | 1881248227
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Entity Type | Individual
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Provider Name | AMANDA CATHRYN KELLY NP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1280 W CENTRAL ST STE 302
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City | FRANKLIN
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State | MA
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Zip | 02038-3110
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Country | US
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Telephone | 774-462-3910
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Fax | 508-440-5625
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 65558
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2265855
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN2265855
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License Number State | MA
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