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General NPI Number Information
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NPI Number | 1275129751
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Entity Type | Individual
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Provider Name | AMANDA LYNN HOSMER
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Gender | Female
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 7551 E STATE ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1627
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Country | US
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Telephone | 315-286-8832
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Fax |
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Provider Business Mailing Address
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Address Line | 595 W MAIN ST
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City | WATERTOWN
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State | NY
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Zip | 13601-1335
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Country | US
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Telephone | 315-376-5958
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Fax | 315-376-5953
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 110712
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License Number State | NY
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