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General NPI Number Information
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NPI Number | 1235518325
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Entity Type | Individual
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Provider Name | AMBER K HARTNETT MSW, LCSW-QS, MCAP
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Gender | Female
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 160 ISLAND BEACH BLVD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-5016
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Country | US
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Telephone | 321-613-8685
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Fax | 321-522-4544
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Provider Business Mailing Address
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Address Line | 160 ISLAND BEACH BLVD
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-5016
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Country | US
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Telephone | 321-613-8685
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Fax | 321-522-4544
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 8593-123
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 18044-130
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MCAP100902
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 129174-121
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2022004176
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License Number State | MO
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW15040
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License Number State | FL
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