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General NPI Number Information
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NPI Number | 1790500734
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Entity Type | Individual
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Provider Name | AMANDA LEE FIELD LPC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1420 ROBINSON RD STE 400
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City | CORINTH
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State | TX
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Zip | 76210-2848
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Country | US
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Telephone | 972-523-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 N GRAPEVINE MILLS BLVD APT 2105
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City | GRAPEVINE
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State | TX
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Zip | 76051-0979
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Country | US
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Telephone | 815-370-3070
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 91310
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License Number State | TX
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