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Individual
MS. AMANDA LYNN MEREDITH
Active
Individual
MS. AMANDA LYNN MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020841-1
NY
363A00000X
Physician Assistant
25MP00420700
NJ
363AM0700X
Medical Physician Assistant
10002656A
IN
363AM0700X
Medical Physician Assistant
1042
NE
363AM0700X
Medical Physician Assistant
50.003307
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38594
BCBSNE
NE
Enumeration date
01/18/2006
Last updated
10/29/2020
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