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General NPI Number Information
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NPI Number | 1740733989
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Entity Type | Individual
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Provider Name | EMAN KAMEL HAMDAN BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/23/2016
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 27247 KINGSWOOD DR
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3361
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Country | US
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Telephone | 313-645-3271
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Fax |
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Provider Business Mailing Address
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Address Line | 43280 KEYSTONE LN
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City | CANTON
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State | MI
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Zip | 48187-3471
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Country | US
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Telephone | 313-645-3271
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-34671
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License Number State |
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