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General NPI Number Information
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NPI Number | 1386777886
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Entity Type | Individual
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Provider Name | AMANDA MERTEL PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 3202 E MOUNTAIN VIEW RD
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City | PHOENIX
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State | AZ
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Zip | 85028-3901
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Country | US
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Telephone | 602-237-6653
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Fax | 602-957-3600
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Provider Business Mailing Address
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Address Line | 3202 E MOUNTAIN VIEW RD
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City | PHOENIX
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State | AZ
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Zip | 85028-3901
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Country | US
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Telephone | 602-237-6653
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Fax | 602-957-3600
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22900
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4160
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License Number State | AZ
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