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General NPI Number Information
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NPI Number | 1487569471
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Entity Type | Individual
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Provider Name | AMANDA STARICK MSW, SSW
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 4325 BANNISTER RD
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City | ROCHESTER
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State | MI
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Zip | 48306-1671
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Country | US
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Telephone | 248-726-6094
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Fax |
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Provider Business Mailing Address
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Address Line | 4325 BANNISTER RD
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City | ROCHESTER
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State | MI
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Zip | 48306-1671
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Country | US
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Telephone | 248-726-6094
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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