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General NPI Number Information
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NPI Number | 1477220317
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Entity Type | Individual
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Provider Name | KAMRIE N VANWINKLE MA, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 800 RIVERWOOD CT
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City | CONROE
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State | TX
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Zip | 77304-2890
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Country | US
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Telephone | 844-422-2669
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Fax |
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Provider Business Mailing Address
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Address Line | 30685 FM 2978 RD APT 1112
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City | MAGNOLIA
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State | TX
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Zip | 77354-3582
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Country | US
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Telephone | 713-306-7400
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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 | 1-21-52415
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License Number State | TX
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