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General NPI Number Information
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NPI Number | 1316753858
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Entity Type | Individual
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Provider Name | AMINATA KANE
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 440 N BARRANCA AVE # 5028
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 408-837-0116
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Fax |
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Provider Business Mailing Address
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Address Line | 5632 COURAGE DR UNIT D
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City | NEW ALBANY
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State | OH
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Zip | 43054-7641
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Country | US
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Telephone | 917-698-4810
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 190383
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License Number State | OH
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