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General NPI Number Information
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NPI Number | 1225302581
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Entity Type | Individual
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Provider Name | LUKE WILLIAM AMANN PSYD
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Gender | Male
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 680 MIDDLETOWN BLVD STE 100
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City | LANGHORNE
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State | PA
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Zip | 19047-1817
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Country | US
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Telephone | 215-741-9555
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Fax | 215-741-6063
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Provider Business Mailing Address
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Address Line | 680 MIDDLETOWN BLVD STE 100
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City | LANGHORNE
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State | PA
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Zip | 19047-1817
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Country | US
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Telephone | 215-741-9555
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Fax | 215-741-6063
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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 | PS017178
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS017178
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS017178
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License Number State | PA
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