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General NPI Number Information
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NPI Number | 1639528847
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Entity Type | Organization
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Legal Business Name | AMBER ENTERPRISES, INC.
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 328 E COMMERCIAL ROAD UNIT 102 AND 103
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3708
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Country | US
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Telephone | 888-370-1724
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Fax |
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Provider Business Mailing Address
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Address Line | 10004 S 152ND STREET SUITE A
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City | OMAHA
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State | NE
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Zip | 68138-3931
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Country | US
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Telephone | 402-896-5000
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Fax | 402-896-3774
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTIN WILLIAMS
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Credential |
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Telephone | 515-267-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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