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General NPI Number Information
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NPI Number | 1740485325
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Entity Type | Individual
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Provider Name | THOMAS DONALD KEMPTON PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2000 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-2701
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Country | US
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Telephone | 631-667-3667
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Fax |
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Provider Business Mailing Address
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Address Line | 117 CENTERSHORE RD
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City | CENTERPORT
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State | NY
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Zip | 11721-1346
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Country | US
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Telephone | 631-754-1853
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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 | 008412-1
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License Number State | NY
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