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General NPI Number Information
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NPI Number | 1730523556
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Entity Type | Individual
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Provider Name | STACEY JOI KARGMAN-KAYE N.M.D., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 10806 REISTERSTOWN RD STE 1E
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4620
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Country | US
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Telephone | 410-356-4600
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Fax | 410-654-8995
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Provider Business Mailing Address
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Address Line | 10806 REISTERSTOWN RD STE 1E
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4620
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Country | US
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Telephone | 410-356-4600
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Fax | 410-654-8995
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U00971
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 099.0000168
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License Number State | VT
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