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General NPI Number Information
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NPI Number | 1477423309
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Entity Type | Individual
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Provider Name | AMANDA PFEIFFER
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 649 BARRON BLVD
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City | GRAYSLAKE
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State | IL
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Zip | 60030-1343
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Country | US
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Telephone | 815-200-8520
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Fax |
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Provider Business Mailing Address
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Address Line | 256 STONEGATE RD
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City | TROUT VALLEY
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State | IL
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Zip | 60013-2524
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Country | US
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Telephone | 815-529-5933
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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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