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General NPI Number Information
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NPI Number | 1538694237
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Entity Type | Individual
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Provider Name | AMANDA MARKOWSKI
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Gender | Female
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 1091 SE DOCK ST
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City | OAK HARBOR
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State | WA
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Zip | 98277-4065
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Country | US
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Telephone | 360-682-5016
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Fax | 360-682-6572
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Provider Business Mailing Address
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Address Line | 1566 NW ALMOND LOOP
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City | OAK HARBOR
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State | WA
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Zip | 98277-3813
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Country | US
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Telephone | 908-723-2369
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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 | SC60731039
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06173800
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License Number State | NJ
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