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General NPI Number Information
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NPI Number | 1154619799
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Entity Type | Individual
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Provider Name | MISTY KAMMARADA LAC, MSTOM
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Gender | Female
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 581 5TH AVE SUITE 1
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City | BROOKLYN
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State | NY
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Zip | 11215-8407
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Country | US
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Telephone | 718-965-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 29 N LAKESIDE AVE
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City | JACKSON
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State | NJ
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Zip | 08527-2747
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Country | US
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Telephone | 732-859-6957
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 004629
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License Number State | NY
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