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NPI 1962275776

NPI 1962275776 : AMY D FRANKLIN CDAC : BURLINGTON, IA

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General NPI Number Information
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    NPI Number           |    1962275776
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    Entity Type          |    Individual 
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    Provider Name        |    AMY D FRANKLIN CDAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/02/2023
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    Last Update Date     |    06/26/2025
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Provider Practice Location Address
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    Address Line         |    1340 MOUNT PLEASANT ST 
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    City                 |    BURLINGTON
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    State                |    IA
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    Zip                  |    52601-2623
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    Country              |    US
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    Telephone            |    319-753-6567
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    406 BALLARD ST 
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    City                 |    WEST BURLINGTON
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    State                |    IA
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    Zip                  |    52655-1308
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    Country              |    US
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    Telephone            |    319-750-7347
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    24017
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    License Number State |    IA
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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