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General NPI Number Information
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NPI Number | 1619644259
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Entity Type | Individual
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Provider Name | AMANDA JOY WEISBROT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 1500 HEMPSTEAD TPKE
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City | EAST MEADOW
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State | NY
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Zip | 11554-1551
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Country | US
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Telephone | 516-739-7733
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Fax | 516-739-3923
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Provider Business Mailing Address
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Address Line | 727 N BROADWAY STE B1
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City | MASSAPEQUA
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State | NY
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Zip | 11758-2348
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Country | US
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Telephone | 800-871-5491
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10033201
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License Number State | NY
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