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General NPI Number Information
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NPI Number | 1740955111
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Entity Type | Individual
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Provider Name | AMANDA SHREKENHAMER LCPC, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 5000 THAYER CTR STE C
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City | OAKLAND
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State | MD
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Zip | 21550-1139
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Country | US
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Telephone | 301-533-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 WISCONSIN AVE # 5917
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6114
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Country | US
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Telephone | 301-941-7099
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PRC14454
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC5457
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License Number State | MD
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