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General NPI Number Information
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NPI Number | 1386553006
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Entity Type | Organization
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Legal Business Name | EMBER & BLOOM PLLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 50 GREENE ROAD 561
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City | MARMADUKE
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State | AR
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Zip | 72443-9053
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Country | US
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Telephone | 870-810-3083
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Fax | 855-261-2323
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Provider Business Mailing Address
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Address Line | 50 GREENE ROAD 561
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City | MARMADUKE
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State | AR
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Zip | 72443-9053
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Country | US
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Telephone | 870-810-3083
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Fax | 855-261-2323
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Authorized Official
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Title or Position | ADMINISTRATOR/APRN/PMHNP
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Name | KATHY SPEARS
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Credential | APRN PMHNP
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Telephone | 870-810-3083
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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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