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General NPI Number Information
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NPI Number | 1356804157
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Entity Type | Organization
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Legal Business Name | AMBER LERMA, MD, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 37 AVENIDA DE ORINDA
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City | ORINDA
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State | CA
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Zip | 94563-2305
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Country | US
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Telephone | 925-900-5959
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Fax |
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Provider Business Mailing Address
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Address Line | 68 GAYWOOD PL
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City | MORAGA
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State | CA
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Zip | 94556-1716
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Country | US
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Telephone | 925-771-0728
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Fax |
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Authorized Official
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Title or Position | CEO, PRESIDENT, SECRETARY
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Name | DR. AMBER FAITH LERMA
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Credential | MD
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Telephone | 925-771-0728
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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 |
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License Number State |
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