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General NPI Number Information
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NPI Number | 1306249370
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Entity Type | Individual
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Provider Name | AMANDA MERVINE EDWARDS LPC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 19563 E MAINSTREET STE 206
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City | PARKER
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State | CO
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Zip | 80138-7394
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Country | US
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Telephone | 720-810-2668
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Fax |
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Provider Business Mailing Address
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Address Line | 11206 RODEO CIR
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City | PARKER
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State | CO
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Zip | 80138-7345
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Country | US
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Telephone | 720-810-2668
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 13551
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License Number State | CO
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