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General NPI Number Information
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NPI Number | 1255073607
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Entity Type | Individual
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Provider Name | AMY RUTH DAVIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 9 MILL RACE DR
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City | EASTON
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State | PA
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Zip | 18045-7449
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Country | US
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Telephone | 610-442-2714
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Fax | 855-565-6607
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Provider Business Mailing Address
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Address Line | 9 MILL RACE DR
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City | EASTON
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State | PA
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Zip | 18045-7449
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Country | US
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Telephone | 610-442-2714
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Fax | 855-565-6607
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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 | CW013890
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 1231755
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW19389
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC04736600
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License Number State | NJ
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