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General NPI Number Information
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NPI Number | 1275374357
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Entity Type | Individual
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Provider Name | AMBER FLINN LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1105 N ANKENY BLVD STE 100
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City | ANKENY
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State | IA
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Zip | 50023-4003
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Country | US
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Telephone | 866-671-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 617 ALPHA ST NW
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City | BONDURANT
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State | IA
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Zip | 50035-1439
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Country | US
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Telephone | 515-210-7816
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 124535
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 124535
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 124535
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 124535
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 124535
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License Number State | IA
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