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NPI 1821128893

NPI 1821128893 : AMY BIEGEL MSW, LCSW : BLUFFTON, IN

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General NPI Number Information
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    NPI Number           |    1821128893
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    Entity Type          |    Individual 
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    Provider Name        |    AMY BIEGEL MSW, LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/07/2007
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    Last Update Date     |    01/29/2009
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Provider Practice Location Address
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    Address Line         |    1515 SUTTON CIRCLE DR N 
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    City                 |    BLUFFTON
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    State                |    IN
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    Zip                  |    46714-1142
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    Country              |    US
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    Telephone            |    260-824-1330
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 431 1515 SUTTON CIRCLE DR. NORTH
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    City                 |    BLUFFTON
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    State                |    IN
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    Zip                  |    46714-0431
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    Country              |    US
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    Telephone            |    260-824-1330
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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       |    34004642A
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    License Number State |    IN
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