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General NPI Number Information
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NPI Number | 1235389750
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Entity Type | Organization
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Legal Business Name | KEMPF MEDICAL MANAGEMENT, LLC
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 14331 CLEAR CREEK ST
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4408
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Country | US
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Telephone | 210-488-7949
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Fax |
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Provider Business Mailing Address
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Address Line | 14331 CLEAR CREEK ST
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4408
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Country | US
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Telephone | 210-488-7949
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Fax |
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | MELISSA A KEMPF
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Credential | MD
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Telephone | 210-488-7949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | K5579
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License Number State | TX
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