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General NPI Number Information
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NPI Number | 1275047953
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Entity Type | Individual
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Provider Name | STEPHANIE RENE AMARTEIFIO LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 7501 BOULDER VIEW DR STE 601
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-4054
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Country | US
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Telephone | 804-413-2855
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Fax |
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Provider Business Mailing Address
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Address Line | 15800 PINES BLVD STE 319
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1212
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Country | US
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Telephone | 954-408-6375
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904010141
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW18538
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License Number State | FL
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