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General NPI Number Information
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NPI Number | 1851103592
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Entity Type | Individual
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Provider Name | AMBER JOHNSON PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1350 N LOOP 1604 E STE 106
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1425
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Country | US
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Telephone | 210-614-4990
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Fax |
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Provider Business Mailing Address
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Address Line | 227 APPLEBERRY LN
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City | ELGIN
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State | TX
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Zip | 78621-2424
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Country | US
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Telephone | 773-899-7963
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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 | 40372
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License Number State | TX
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