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General NPI Number Information
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NPI Number | 1235858846
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Entity Type | Individual
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Provider Name | AMANDA BROWN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 216 14TH AVE SW
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City | SIDNEY
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State | MT
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Zip | 59270-3519
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Country | US
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Telephone | 406-488-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 306 LINDEN AVE
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City | GLENDIVE
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State | MT
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Zip | 59330-3031
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Country | US
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Telephone | 406-359-9349
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | BBH-LCSW-LIC-75355
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License Number State | MT
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