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General NPI Number Information
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NPI Number | 1306572607
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Entity Type | Individual
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Provider Name | MRS. AMBER BRIANA ELLINGTON
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 225 BIRD BUILDING
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City | CULLOWHEE
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State | NC
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Zip | 28723
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Country | US
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Telephone | 828-227-7469
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Fax |
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Provider Business Mailing Address
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Address Line | 95 SLATE MTN APT D1
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City | CULLOWHEE
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State | NC
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Zip | 28723-7223
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Country | US
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Telephone | 704-776-5668
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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