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General NPI Number Information
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NPI Number | 1043536709
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Entity Type | Individual
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Provider Name | KIU AMANI EUBANKS PH.D
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Gender | Female
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 9616 REISTERSTOWN RD PHENIX SALON - SUITE 109
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 443-453-5045
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Fax | 443-863-6262
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Provider Business Mailing Address
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Address Line | 1339 GREENBRIAR CIR # 8
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City | PIKESVILLE
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State | MD
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Zip | 21208-3750
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Country | US
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Telephone | 443-900-7329
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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 | 4323
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License Number State | NC
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