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General NPI Number Information
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NPI Number | 1700679776
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Entity Type | Individual
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Provider Name | AMANDA NICOLE HARTMAN CRAVEN EDUCATION SPECIALIST
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Gender | Female
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 110 E MAIN ST STE B
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City | MUNCIE
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State | IN
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Zip | 47305-2839
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Country | US
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Telephone | 520-258-8869
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Fax |
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Provider Business Mailing Address
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Address Line | 13043 W 450 N
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City | LINTON
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State | IN
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Zip | 47441-6140
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Country | US
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Telephone | 520-258-8869
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 10285624
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License Number State | IN
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