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General NPI Number Information
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NPI Number | 1700318029
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Entity Type | Individual
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Provider Name | LISA MARIE STREMEL PSYD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER CMR 402 BOX 33100
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City | APO
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State | AS
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Zip | 09180
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Country | US
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Telephone | 314-590-6167
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 COCHRANE CIR
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City | FORT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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