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General NPI Number Information
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NPI Number | 1003455270
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Entity Type | Individual
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Provider Name | AMBER HOLT MA, PLPC
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Gender | Female
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Dates
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Enumeration Date | 01/05/2020
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Last Update Date | 01/05/2020
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Provider Practice Location Address
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Address Line | 1001 BOARDWALK SPRINGS PL STE 111
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City | O FALLON
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State | MO
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Zip | 63368-4777
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Country | US
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Telephone | 636-587-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 608 OTTER CREEK TRL
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City | SAINT PETERS
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State | MO
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Zip | 63376-5909
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Country | US
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Telephone | 618-579-3945
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2017041284
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License Number State | MO
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