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General NPI Number Information
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NPI Number | 1891027785
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Entity Type | Individual
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Provider Name | AMY M SPELLERBERG MASSIE LISW
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Gender | Female
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2435 KIMBERLY RD UNIT 75S
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City | BETTENDORF
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State | IA
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Zip | 52722-3509
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Country | US
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Telephone | 563-200-3230
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Fax | 866-611-9407
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Provider Business Mailing Address
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Address Line | 1441 W CENTRAL PARK AVE
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City | DAVENPORT
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State | IA
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Zip | 52804-1707
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Country | US
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Telephone | 563-383-1900
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Fax | 563-884-4638
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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 | 007033
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License Number State | IA
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