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General NPI Number Information
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NPI Number | 1144838301
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Entity Type | Individual
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Provider Name | AMANDA MORROW BADAR LPC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 42035 LOUDOUN CENTER PL
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City | LEESBURG
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State | VA
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Zip | 20175-8954
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Country | US
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Telephone | 571-541-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 42020 LOUDOUN CENTER PL
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City | LEESBURG
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State | VA
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Zip | 20175-8953
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Country | US
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Telephone | 703-771-5200
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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 | 0704013243
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701012286
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License Number State | VA
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