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General NPI Number Information
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NPI Number | 1407120132
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Entity Type | Individual
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Provider Name | MONAROSE AMIAN-SKAMFER
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Gender | Female
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 10333 EL CAMINO REAL
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City | ATASCADERO
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State | CA
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Zip | 93422-5808
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Country | US
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Telephone | 805-468-2117
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1335
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City | PISMO BEACH
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State | CA
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Zip | 93448-1335
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Country | US
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Telephone | 805-457-4977
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW77729
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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