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General NPI Number Information
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NPI Number | 1144100298
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Entity Type | Individual
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Provider Name | AMY MARIE WORKOWSKI
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3389 N STATE ST STE 1
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City | BUNNELL
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State | FL
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Zip | 32110-4340
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Country | US
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Telephone | 386-212-8769
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Fax |
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Provider Business Mailing Address
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Address Line | 12 PROMENADE AT LIONSPAW
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City | DAYTONA BEACH
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State | FL
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Zip | 32124-1500
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Country | US
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Telephone | 386-212-8769
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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