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General NPI Number Information
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NPI Number | 1083116313
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Entity Type | Individual
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Provider Name | MRS. AMBER BERKLEY THOMAS
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Gender | Female
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 03/02/2018
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Provider Practice Location Address
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Address Line | 4200 MARSHALL AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-2302
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Country | US
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Telephone | 757-928-6810
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 EBB COVE CT
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-8828
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Country | US
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Telephone | 757-810-1059
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 0813000439
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License Number State | VA
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