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General NPI Number Information
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NPI Number | 1578988556
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Entity Type | Organization
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Legal Business Name | AMBER R. KREMPA, PSY.D., LLC
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 4863 OLD SHELL RD
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City | MOBILE
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State | AL
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Zip | 36608-2339
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Country | US
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Telephone | 251-586-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 4863 OLD SHELL ROAD
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City | MOBILE
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State | AL
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Zip | 36608
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Country | US
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Telephone | 251-586-2253
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMBER KREMPA
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Credential | PSY.D.
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Telephone | 251-586-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 1854
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License Number State | AL
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