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General NPI Number Information
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NPI Number | 1972425247
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Entity Type | Individual
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Provider Name | AMANDA GAIL PAGE SMITH LCSWA
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 223 NORTH MAIN ST.
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City | WALNUT COVE
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State | NC
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Zip | 27052
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Country | US
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Telephone | 336-310-6727
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11321
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City | WINSTON SALEM
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State | NC
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Zip | 27116-1321
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Country | US
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Telephone | 336-310-6727
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Fax | 336-228-4321
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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 | P024078
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License Number State | NC
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