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General NPI Number Information
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NPI Number | 1134071426
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Entity Type | Individual
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Provider Name | AMANDA CARA HARRIS
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Gender | Female
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1201 NE 7TH ST
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City | GRANTS PASS
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State | OR
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Zip | 97526-1451
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Country | US
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Telephone | 541-244-8729
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Fax |
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Provider Business Mailing Address
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Address Line | 412 LINDILU LN
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City | CAVE JUNCTION
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State | OR
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Zip | 97523-9045
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Country | US
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Telephone | 541-244-8729
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | OR
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