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General NPI Number Information
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NPI Number | 1841180577
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Entity Type | Individual
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Provider Name | AMANDA LYONS
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Gender |
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 1136 N CHINOWTH ST
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City | VISALIA
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State | CA
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Zip | 93291-4113
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Country | US
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Telephone | 559-604-9825
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Fax |
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Provider Business Mailing Address
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Address Line | 2809 W DARTMOUTH AVE
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City | VISALIA
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State | CA
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Zip | 93277-4308
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Country | US
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Telephone | 559-707-0820
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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 | 156103
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License Number State | CA
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