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General NPI Number Information
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NPI Number | 1245785757
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Entity Type | Individual
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Provider Name | AMANDA LEE SHAFFER MHC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3433 STATE ROUTE 203
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City | VALATIE
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State | NY
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Zip | 12184-5223
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Country | US
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Telephone | 518-429-7207
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Fax |
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Provider Business Mailing Address
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Address Line | 3433 ROUTE 203
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City | VALATIE
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State | NY
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Zip | 12184-2526
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Country | US
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Telephone | 185-429-7207
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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 | 008852
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License Number State | NY
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