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General NPI Number Information
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NPI Number | 1861981474
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Entity Type | Individual
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Provider Name | ANNETTE KAMPMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 116 GALLERY CIR
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3340
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Country | US
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Telephone | 210-421-1020
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Fax |
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Provider Business Mailing Address
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Address Line | 153 CRIMSON TREE
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City | CIBOLO
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State | TX
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Zip | 78108-4325
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Country | US
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Telephone | 210-945-8577
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 57961
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License Number State | TX
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