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General NPI Number Information
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NPI Number | 1326131053
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Entity Type | Individual
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Provider Name | MICAH HOOPER KREMPASKY MD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 3000 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1231
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Country | US
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Telephone | 919-350-7326
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Fax | 919-350-7204
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Provider Business Mailing Address
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Address Line | PO BOX 603949
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City | CHARLOTTE
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State | NC
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Zip | 28260-3949
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Country | US
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Telephone | 919-350-0351
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Fax | 919-350-7687
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 156597
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License Number State | NC
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