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General NPI Number Information
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NPI Number | 1154172757
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Entity Type | Individual
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Provider Name | AMANDA STEFFON LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 333 W 1425 N
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City | CEDAR CITY
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State | UT
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Zip | 84721-8872
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Country | US
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Telephone | 435-267-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 5948 W JUNIPER ACRES CT
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City | WEST VALLEY
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State | UT
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Zip | 84128-4609
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7748904-3501
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License Number State | UT
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