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General NPI Number Information
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NPI Number | 1346415759
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Entity Type | Individual
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Provider Name | ANGELA FAYE KEMMER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 73 HIGH POINT RD
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City | TAVERNIER
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State | FL
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Zip | 33070-2005
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Country | US
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Telephone | 305-852-2240
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Fax | 305-852-6902
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Provider Business Mailing Address
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Address Line | 73 HIGH POINT RD
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City | TAVERNIER
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State | FL
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Zip | 33070-2005
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Country | US
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Telephone | 305-852-2240
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Fax | 305-852-6902
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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 | SW 8972
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW8972
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License Number State | FL
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