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General NPI Number Information
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NPI Number | 1285123018
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Entity Type | Individual
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Provider Name | MR. PAUL KAMARA
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Gender | Male
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 9932 MAIN ST
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City | FAIRFAX
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State | VA
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Zip | 22031-3901
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Country | US
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Telephone | 703-272-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 9679 MUIRKIRK RD
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City | LAUREL
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State | MD
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Zip | 20708-2609
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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