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General NPI Number Information
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NPI Number | 1699172130
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Entity Type | Individual
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Provider Name | AMANDA BETH JANULIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 32 BETSY LN
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City | AMBLER
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State | PA
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Zip | 19002-5733
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Country | US
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Telephone | 215-287-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 32 BETSY LN
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City | AMBLER
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State | PA
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Zip | 19002-5733
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Country | US
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Telephone | 215-287-6690
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC06112700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CW014691
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 124779
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C014817
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0012026
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License Number State | DE
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW014691
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License Number State | PA
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