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General NPI Number Information
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NPI Number | 1700254380
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Entity Type | Individual
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Provider Name | AMANDA SAVAGE BROWN PHD, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2015
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 1000 HART RD STE 201
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City | BARRINGTON
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State | IL
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Zip | 60010-2669
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Country | US
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Telephone | 847-382-1915
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Fax |
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Provider Business Mailing Address
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Address Line | 334 W MAIN ST
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City | BARRINGTON
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State | IL
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Zip | 60010-3059
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Country | US
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Telephone | 404-664-0922
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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 | CSW005942
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License Number State | GA
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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 | 149.019675
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License Number State | IL
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