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NPI 1902586860

NPI 1902586860 : AMANDA MCKANE : ERIE, PA

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General NPI Number Information
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    NPI Number           |    1902586860
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA MCKANE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/24/2023
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    7200 PEACH ST 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16509-4754
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    Country              |    US
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    Telephone            |    814-866-0984
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    Fax                  |    814-868-0986
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Provider Business Mailing Address
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    Address Line         |    7200 PEACH ST 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16509-4754
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    Country              |    US
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    Telephone            |    814-866-0984
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    Fax                  |    814-868-0986
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP457702
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    03443282
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    License Number State |    OH
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