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General NPI Number Information
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NPI Number | 1841110871
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Entity Type | Individual
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Provider Name | AMANDA MARIE HANSTAD AMFT, APCC
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 5475 E LA PALMA AVE STE 203
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City | ANAHEIM
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State | CA
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Zip | 92807-2075
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Country | US
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Telephone | 714-485-6778
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Fax |
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Provider Business Mailing Address
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Address Line | 4770 EUREKA AVE
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City | YORBA LINDA
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State | CA
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Zip | 92885-1400
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Country | US
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Telephone | 310-386-2129
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 158400
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License Number State | CA
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