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General NPI Number Information
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NPI Number | 1447836739
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Entity Type | Individual
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Provider Name | DAVID K KAMANDE
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Gender | Male
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 4489 INTERNATIONAL CT APT 2
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-2416
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Country | US
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Telephone | 763-267-2696
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Fax |
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Provider Business Mailing Address
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Address Line | 7024 ROSE LN
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-8502
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Country | US
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Telephone | 763-267-2696
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34011064A
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License Number State | IN
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