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General NPI Number Information
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NPI Number | 1083973531
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Entity Type | Individual
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Provider Name | MABINTY ALICE KAMARA CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 7503 SURRATTS RD
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City | CLINTON
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State | MD
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Zip | 20735-3358
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Country | US
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Telephone | 301-877-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 12602 CAROLINA MEADOW LN STE 350
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City | CLINTON
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State | MD
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Zip | 20735-9637
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Country | US
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Telephone | 516-945-3156
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 656943
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R208873
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License Number State | MD
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