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General NPI Number Information
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NPI Number | 1306174586
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Entity Type | Individual
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Provider Name | SHELLEY S KROMPIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 5401 NORRIS CANYON RD SUITE 314
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City | SAN RAMON
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State | CA
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Zip | 94583-5409
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Country | US
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Telephone | 925-947-0823
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Fax | 925-277-1747
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Provider Business Mailing Address
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Address Line | 5401 NORRIS CANYON RD SUITE 314
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City | SAN RAMON
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State | CA
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Zip | 94583-5409
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Country | US
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Telephone | 925-947-0823
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Fax | 925-277-1724
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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 | LCS12345
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License Number State | CA
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