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General NPI Number Information
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NPI Number | 1013489145
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Entity Type | Individual
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Provider Name | AMANDA MARIE CLAIRDAY LICSW
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Gender | Female
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Dates
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Enumeration Date | 12/31/2018
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 26756 MAIN ST
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City | ARDMORE
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State | AL
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Zip | 35739-7624
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Country | US
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Telephone | 615-881-9020
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Fax | 256-910-0820
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Provider Business Mailing Address
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Address Line | 25455 COTTON BELT RD
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City | ELKMONT
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State | AL
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Zip | 35620-8037
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Country | US
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Telephone | 615-881-9020
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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 | 4232G
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4526C-S
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License Number State | AL
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