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General NPI Number Information
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NPI Number | 1942065255
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Entity Type | Individual
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Provider Name | AMANDA KORVER
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Gender | Female
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 359 N MAIN ST STE 9
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City | KALISPELL
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State | MT
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Zip | 59901-3902
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Country | US
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Telephone | 406-201-8977
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Fax | 833-928-4331
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Provider Business Mailing Address
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Address Line | 630 BLAINE VIEW LN
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City | KALISPELL
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State | MT
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Zip | 59901-7621
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Country | US
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Telephone | 804-938-8120
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Fax | 833-928-4331
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 235439
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License Number State | MT
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