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General NPI Number Information
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NPI Number | 1982555223
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Entity Type | Individual
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Provider Name | AMANDA LIBERT MYERS
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Gender | Female
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 201 REGENCY CT
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City | DOTHAN
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State | AL
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Zip | 36305-1179
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Country | US
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Telephone | 334-673-8869
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Fax |
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Provider Business Mailing Address
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Address Line | 844 N TYNDALL PKWY # 223
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City | PANAMA CITY
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State | FL
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Zip | 32404-9407
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Country | US
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Telephone | 850-381-8107
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3-002824
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License Number State | AL
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