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General NPI Number Information
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NPI Number | 1790336006
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Entity Type | Individual
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Provider Name | KAMEKO EDGECOMBE BURDINE CAA
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Gender | Female
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 6300 POWERS FERRY RD STE 600-236
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City | ATLANTA
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State | GA
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Zip | 30339-2919
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Country | US
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Telephone | 305-810-9880
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 945375
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City | ATLANTA
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State | GA
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Zip | 30394-5375
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Country | US
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Telephone | 516-945-3000
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 10800
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 530
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 530
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License Number State | FL
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