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General NPI Number Information
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NPI Number | 1003176793
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Entity Type | Individual
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Provider Name | AMY E STAMBUK LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 495 UINTA WAY SUITE 120
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City | DENVER
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State | CO
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Zip | 80230-7110
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Country | US
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Telephone | 303-344-4100
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Fax | 303-484-3575
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Provider Business Mailing Address
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Address Line | 8100 E 24TH AVE
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City | DENVER
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State | CO
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Zip | 80238-3071
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Country | US
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Telephone | 303-895-5116
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Fax | 303-759-9291
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 993020
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License Number State | CO
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