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General NPI Number Information
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NPI Number | 1447816491
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Entity Type | Individual
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Provider Name | ANDREW KAMINSKY NP
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Gender | Male
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 600 W BROADWAY STE 700
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City | SAN DIEGO
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State | CA
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Zip | 92101-3370
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Country | US
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Telephone | 877-936-2873
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Fax | 877-882-6925
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Provider Business Mailing Address
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Address Line | 600 W BROADWAY STE 700
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City | SAN DIEGO
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State | CA
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Zip | 92101-3370
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Country | US
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Telephone | 877-936-2873
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 742150
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License Number State | NY
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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 | 95022117
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402659
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License Number State | NY
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