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General NPI Number Information
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NPI Number | 1407542905
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Entity Type | Individual
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Provider Name | AMY CATHERINE HAMMERSCHLAG M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 265 S RANDOLPH AVE STE 250
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City | BREA
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State | CA
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Zip | 92821-5701
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Country | US
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Telephone | 657-549-0857
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Fax |
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Provider Business Mailing Address
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Address Line | 914 W LAMARK LN
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City | ANAHEIM
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State | CA
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Zip | 92802-3403
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Country | US
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Telephone | 714-920-5106
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Fax |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSB94027480
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License Number State | CA
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