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General NPI Number Information
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NPI Number | 1912863960
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Entity Type | Individual
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Provider Name | AMBER AUDREY WALLINGFORD LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 601 E LOCUST ST STE 204
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City | DES MOINES
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State | IA
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Zip | 50309-1984
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Country | US
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Telephone | 515-517-6473
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Fax |
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Provider Business Mailing Address
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Address Line | 1939 LEYNER ST
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City | DES MOINES
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State | IA
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Zip | 50314-1113
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Country | US
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Telephone | 319-651-7954
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 128233
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License Number State | IA
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