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General NPI Number Information
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NPI Number | 1487425575
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Entity Type | Individual
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Provider Name | AMBER STOVALL
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Gender | Female
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 14765 W MOUNTAIN VIEW BLVD
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City | SURPRISE
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State | AZ
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Zip | 85374-2704
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Country | US
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Telephone | 602-649-0245
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 SAN FELIPE ST STE 990
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City | HOUSTON
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State | TX
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Zip | 77063-1708
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Country | US
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Telephone | 866-610-0580
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-251376
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License Number State | AZ
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