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General NPI Number Information
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NPI Number | 1003671645
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Entity Type | Individual
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Provider Name | AMBER RAE OWENS LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 113 HAZEL PATH BLDG SUITE3C
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3878
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Country | US
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Telephone | 615-943-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 PITTMAN DR
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City | GALLATIN
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State | TN
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Zip | 37066-8461
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Country | US
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Telephone | 931-220-2915
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12300
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License Number State | TN
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