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General NPI Number Information
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NPI Number | 1447886023
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Entity Type | Individual
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Provider Name | AMY LYNNE BARR LLBSW
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Gender | Female
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 14799 DIX TOLEDO RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2507
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Country | US
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Telephone | 888-813-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 44697 GREENBRIAR DR
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City | VAN BUREN TOWNSHIP
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State | MI
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Zip | 48111-5162
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Country | US
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Telephone | 734-740-9268
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6802090713
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 6802089266
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License Number State | MI
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