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General NPI Number Information
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NPI Number | 1770212219
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Entity Type | Individual
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Provider Name | AMANDA LYNN HOOD LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 110 PEARSON
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City | BENTON
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State | AR
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Zip | 72015-4436
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Country | US
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Telephone | 501-315-4224
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Fax | 501-778-0450
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Provider Business Mailing Address
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Address Line | 1603 BOONE RD
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City | BRYANT
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State | AR
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Zip | 72022-3212
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Country | US
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Telephone | 479-790-1737
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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 | 9799-C
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9799-M
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License Number State | AR
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