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General NPI Number Information
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NPI Number | 1093410789
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Entity Type | Individual
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Provider Name | FATMATA KAMARA RN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2811 PENNSYLVANIA AVE SE STE LL
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City | WASHINGTON
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State | DC
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Zip | 20020-3865
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Country | US
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Telephone | 202-894-6811
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Fax |
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Provider Business Mailing Address
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Address Line | 4117 BROOKGREEN DR
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City | FAIRFAX
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State | VA
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Zip | 22033-6220
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Country | US
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Telephone | 571-265-5969
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0002099869
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP500005866
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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