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General NPI Number Information
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NPI Number | 1710687892
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Entity Type | Individual
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Provider Name | AGNES KAMANZI
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Gender | Female
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 09/30/2023
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Provider Practice Location Address
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Address Line | 2091 PALM DALE DR SW
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City | WYOMING
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State | MI
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Zip | 49519-9677
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Country | US
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Telephone | 720-495-0311
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Fax |
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Provider Business Mailing Address
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Address Line | 2091 PALM DALE DR SW
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City | WYOMING
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State | MI
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Zip | 49519-9677
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Country | US
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Telephone | 720-416-6298
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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