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General NPI Number Information
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NPI Number | 1982192639
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Entity Type | Individual
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Provider Name | AMANDA CHRISTINE ARYA LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 7505 BLUESTONE DR
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City | RENO
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State | NV
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Zip | 89511-1324
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Country | US
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Telephone | 775-464-0929
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Fax |
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Provider Business Mailing Address
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Address Line | 2629 PORTLAND ST APT 104B
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City | LOS ANGELES
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State | CA
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Zip | 90007-4818
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Country | US
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Telephone | 313-285-0098
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11766-C
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License Number State | NV
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