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General NPI Number Information
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NPI Number | 1760023733
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Entity Type | Organization
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Legal Business Name | AMANDA REGAN MENTAL HEALTH COUNSELING, PLLC.
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 722 WEILAND RD STE 200
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City | ROCHESTER
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State | NY
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Zip | 14626-3957
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Country | US
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Telephone | 585-420-7280
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Fax | 585-720-0054
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Provider Business Mailing Address
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Address Line | 722 WEILAND RD STE 200
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City | ROCHESTER
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State | NY
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Zip | 14626-3957
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | AMANDA REGAN
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Credential |
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Telephone | 585-420-7280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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