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General NPI Number Information
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NPI Number | 1518430016
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Entity Type | Individual
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Provider Name | AMANDA KOPELMAN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 10404 VINEYARD BLVD STE C
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-3739
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Country | US
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Telephone | 405-930-6040
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Fax | 405-724-6913
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Provider Business Mailing Address
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Address Line | 8300 JEFFERSON ST NE STE B
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1734
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Country | US
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Telephone | 630-464-4363
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Fax | 531-777-7579
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 12043624
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License Number State | OK
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