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General NPI Number Information
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NPI Number | 1386465433
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Entity Type | Individual
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Provider Name | KEVIN DEVON COLYNS
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Gender | Male
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 8098 SANDPIPER CIR
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4974
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Country | US
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Telephone | 410-205-6384
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 SWALLOW CREST DR APT H
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City | EDGEWOOD
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State | MD
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Zip | 21040-1709
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Country | US
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Telephone | 410-568-5787
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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