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General NPI Number Information
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NPI Number | 1073164232
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Entity Type | Individual
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Provider Name | AMBER MARIE DEMARS M.ED. NCC ALC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 1109 SPRING DR
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City | OPELIKA
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State | AL
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Zip | 36801-5345
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Country | US
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Telephone | 334-745-2760
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Fax |
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Provider Business Mailing Address
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Address Line | 230 OPELIKA RD APT 122
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City | AUBURN
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State | AL
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Zip | 36830-3927
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Country | US
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Telephone | 334-332-7147
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C2988A
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License Number State | AL
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