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General NPI Number Information
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NPI Number | 1639789209
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Entity Type | Individual
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Provider Name | AMANDA BURAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 1991 CALLE DE SANTIAGO
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City | MESILLA
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State | NM
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Zip | 88046-9040
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Country | US
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Telephone | 915-307-0241
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Fax | 575-708-2027
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Provider Business Mailing Address
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Address Line | PO BOX 980
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City | MESILLA
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State | NM
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Zip | 88046-0980
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Country | US
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Telephone | 915-307-0241
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Fax | 575-708-2027
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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