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General NPI Number Information
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NPI Number | 1730815754
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Entity Type | Individual
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Provider Name | AMANDA ANNE GUIDE MSW,LSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 535 MORRIS AVE STE 3
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1025
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Country | US
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Telephone | 908-217-0784
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Fax |
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Provider Business Mailing Address
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Address Line | 2 WRIGHT RD
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City | BARNEGAT
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State | NJ
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Zip | 08005-1319
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Country | US
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Telephone | 908-217-0784
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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 |
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License Number State |
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