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General NPI Number Information
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NPI Number | 1528588613
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Entity Type | Individual
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Provider Name | AMBER EVANS CSW
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 434 SCOTT ST
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City | COVINGTON
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State | KY
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Zip | 41011-2342
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Country | US
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Telephone | 859-547-5776
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Fax |
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Provider Business Mailing Address
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Address Line | 5899 BOULDER VW
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City | COLD SPRGS HIGHLAND HTS
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State | KY
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Zip | 41076-7131
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Country | US
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Telephone |
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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 | 7051
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License Number State | KY
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