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General NPI Number Information
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NPI Number | 1578089892
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Entity Type | Individual
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Provider Name | JANINA MARIE KAMM PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 200 HAWKINS DR
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City | IOWA CITY
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State | IA
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Zip | 52242-1009
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Country | US
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Telephone | 319-384-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 5TH ST UNIT 604
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City | CORALVILLE
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State | IA
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Zip | 52241-2936
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Country | US
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Telephone | 630-805-2770
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 088004
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 088004
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License Number State | IA
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