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General NPI Number Information
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NPI Number | 1902681000
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Entity Type | Individual
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Provider Name | AMANDA HUTCHERSON RN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 2505 S MEBANE ST
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City | BURLINGTON
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State | NC
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Zip | 27215-6385
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Country | US
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Telephone | 336-223-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 1968 MCCRAY RD
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City | BURLINGTON
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State | NC
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Zip | 27217-8535
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Country | US
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Telephone | 336-269-2118
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 202474
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License Number State | NC
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