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NPI 1023997947

NPI 1023997947 : AMBER DAWN SCHICKLER PSS : LOUISA, KY

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General NPI Number Information
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    NPI Number           |    1023997947
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    Entity Type          |    Individual 
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    Provider Name        |    AMBER DAWN SCHICKLER PSS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/27/2025
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    203 S WATER ST 
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    City                 |    LOUISA
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    State                |    KY
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    Zip                  |    41230-1347
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    Country              |    US
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    Telephone            |    606-649-2211
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    Fax                  |    606-638-1399
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Provider Business Mailing Address
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    Address Line         |    203 S WATER ST 
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    City                 |    LOUISA
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    State                |    KY
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    Zip                  |    41230-1347
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    Country              |    US
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    Telephone            |    606-649-2211
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    Fax                  |    606-638-1399
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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        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    
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    License Number State |    KY
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