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General NPI Number Information
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NPI Number | 1033088349
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Entity Type | Individual
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Provider Name | AMANDA CIBISCHINO MILLER PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 2834 ROUTE 17M
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City | NEW HAMPTON
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State | NY
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Zip | 10958-5011
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Country | US
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Telephone | 845-375-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 619 WASHINGTON XING
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-9812
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Country | US
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Telephone | 845-375-8000
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 027541
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License Number State | NY
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