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General NPI Number Information
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NPI Number | 1932566049
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Entity Type | Organization
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Legal Business Name | AMANDA HARDWICK, LCSW, PLLC
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 325 N FRANKLIN ST H
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-2986
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Country | US
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Telephone | 540-260-3445
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Fax | 540-260-9071
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Provider Business Mailing Address
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Address Line | 325 N FRANKLIN ST H
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-2986
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Country | US
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Telephone | 540-260-3445
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Fax | 540-260-9071
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Authorized Official
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Title or Position | COUNSELOR
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Name | AMANDA HARDWICK
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Credential | LCSW
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Telephone | 540-260-3445
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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 |
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License Number State |
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