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General NPI Number Information
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NPI Number | 1083500029
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Entity Type | Individual
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Provider Name | AUGUSTINE KAMARA RN
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Gender | Male
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 10/12/2025
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4238
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Country | US
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Telephone | 215-662-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 60 W WINONA AVE APT F9
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City | NORWOOD
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State | PA
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Zip | 19074-1412
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Country | US
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Telephone | 484-845-8200
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP034144
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN741817
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License Number State | PA
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