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General NPI Number Information
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NPI Number | 1184816357
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Entity Type | Individual
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Provider Name | AUDREY DONNA STEMPEL PHD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 636 US ROUTE 1 SUITE B
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City | SCARBOROUGH
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State | ME
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Zip | 04074-9700
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Country | US
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Telephone | 207-205-0289
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Fax | 207-883-3144
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Provider Business Mailing Address
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Address Line | 6 GRAY AVE
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City | SACO
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State | ME
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Zip | 04072-3326
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Country | US
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Telephone | 207-838-0512
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Fax | 207-283-0064
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS1217
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License Number State | ME
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