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General NPI Number Information
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NPI Number | 1962045393
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Entity Type | Individual
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Provider Name | AMY JEANNE DEFRANCO ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 502 MAIN ST
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City | BLACK RIVER FALLS
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State | WI
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Zip | 54615-1648
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Country | US
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Telephone | 715-284-2003
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Fax | 844-285-4399
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Provider Business Mailing Address
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Address Line | 10927 NARROW WAY
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City | BLACK RIVER FALLS
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State | WI
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Zip | 54616
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Country | US
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Telephone | 715-418-4279
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Fax | 844-285-4399
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11003566
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License Number State | FL
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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 | 11003566
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10175-33
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License Number State | WI
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