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General NPI Number Information
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NPI Number | 1881928992
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Entity Type | Individual
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Provider Name | AMANDA D REED ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 28 CHICK ST STE 100
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City | METROPOLIS
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State | IL
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Zip | 62960
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Country | US
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Telephone | 618-638-1343
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Fax | 618-638-1340
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Provider Business Mailing Address
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Address Line | 28 CHICK ST
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City | METROPOLIS
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State | IL
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Zip | 62960-2467
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Country | US
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Telephone | 618-524-2176
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Fax | 618-524-4131
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 6190S
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209018997
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License Number State | IL
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