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General NPI Number Information
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NPI Number | 1649128117
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Entity Type | Individual
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Provider Name | MIKHALA KEMP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 6340 SECURITY BLVD
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City | BALTIMORE
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State | MD
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Zip | 21207-5173
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Country | US
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Telephone | 888-741-4829
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Fax |
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Provider Business Mailing Address
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Address Line | 520 FRANKLIN ST
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City | PERRYVILLE
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State | MD
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Zip | 21903-2628
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Country | US
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Telephone | 240-460-3735
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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