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General NPI Number Information
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NPI Number | 1447168836
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Entity Type | Individual
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Provider Name | AMANDA HANSON
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 5757 ALPHA RD STE 470
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City | DALLAS
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State | TX
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Zip | 75240-4601
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Country | US
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Telephone | 505-702-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 SMARTY JONES ST SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-2398
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Country | US
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Telephone | 505-702-9080
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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 | 103743
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CTB-2026-0764
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License Number State | NM
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