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General NPI Number Information
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NPI Number | 1881901221
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Entity Type | Individual
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Provider Name | MICHELLE AMBER ATKINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 255 PICO AVE STE 250
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City | SAN MARCOS
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State | CA
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Zip | 92069-3712
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Country | US
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Telephone | 760-650-8748
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Fax |
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Provider Business Mailing Address
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Address Line | 255 PICO AVE STE 250
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City | SAN MARCOS
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State | CA
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Zip | 92069-3712
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Country | US
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Telephone | 760-650-8748
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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 | 28970
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 60805
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License Number State | CA
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