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General NPI Number Information
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NPI Number | 1992720080
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Entity Type | Individual
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Provider Name | AMY LYNN ZACHARY NP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 1551 BISHOP ST UNIT A BUILDING #110
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401
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Country | US
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Telephone | 13-588-6074
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Fax |
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Provider Business Mailing Address
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Address Line | 676 EQUESTRIAN WAY
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City | ARROYO GRANDE
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State | CA
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Zip | 93420
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Country | US
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Telephone | 816-377-5655
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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 | NP14359
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License Number State | CA
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