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General NPI Number Information
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NPI Number | 1013564582
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Entity Type | Individual
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Provider Name | AMANDA SCHELL PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 22 CHRISTY DR
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City | BROCKTON
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State | MA
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Zip | 02301-1839
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Country | US
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Telephone | 508-580-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 1191 BROADWAY
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City | HANOVER
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State | MA
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Zip | 02339-2503
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Country | US
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Telephone | 781-733-5797
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY10000488
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License Number State | MA
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