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General NPI Number Information
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NPI Number | 1588852701
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Entity Type | Individual
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Provider Name | PAMELA SUE KAIN PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 2316 PINE RIDGE RD STE 334
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City | NAPLES
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State | FL
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Zip | 34109-2006
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Country | US
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Telephone | 239-398-0337
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Fax | 239-566-1336
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Provider Business Mailing Address
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Address Line | 2316 PINE RIDGE RD STE 334
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City | NAPLES
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State | FL
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Zip | 34109-2006
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Country | US
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Telephone | 239-398-0337
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Fax | 239-566-1336
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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 | PY7579
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License Number State | FL
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