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General NPI Number Information
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NPI Number | 1013265644
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Entity Type | Individual
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Provider Name | AMANDA MARIE PAINTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 2180 S 1450 W
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City | WELLSVILLE
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State | UT
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Zip | 84339-6733
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Country | US
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Telephone | 801-695-5520
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Fax |
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Provider Business Mailing Address
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Address Line | 2180 S 1450 W
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City | WELLSVILLE
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State | UT
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Zip | 84339-6733
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Country | US
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Telephone | 801-695-5520
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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 | 8934266-3501
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 8934266-3501
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8934266-3501
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8934266-3501
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 8934266-3501
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8934266-3501
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License Number State | UT
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