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General NPI Number Information
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NPI Number | 1538761127
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Entity Type | Individual
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Provider Name | AMANDA JEANNE BECK LCMHC
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Gender | Female
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 983 MAR DON DR
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City | WINSTON SALEM
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State | NC
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Zip | 27104-4624
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Country | US
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Telephone | 336-923-7426
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Fax |
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Provider Business Mailing Address
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Address Line | 6255 TOWNCENTER DR UNIT 1668
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City | CLEMMONS
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State | NC
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Zip | 27012-9376
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Country | US
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Telephone | 336-863-6438
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Fax | 336-793-4399
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 10837
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License Number State | NC
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