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General NPI Number Information
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NPI Number | 1790275733
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Entity Type | Individual
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Provider Name | AMANDA HANTZSCHE
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Gender | Female
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 10565 FAIRFAX BLVD STE 300
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City | FAIRFAX
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State | VA
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Zip | 22030-3104
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Country | US
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Telephone | 703-218-6599
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Fax |
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Provider Business Mailing Address
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Address Line | 245 WESTONIA RD
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City | CHESAPEAKE
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State | VA
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Zip | 23323-1823
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Country | US
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Telephone | 252-435-7150
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | VA
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