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General NPI Number Information
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NPI Number | 1871485375
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Entity Type | Individual
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Provider Name | WAITTA KAMARA VAINGA
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 991 PROVIDENCE HWY # 1168
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City | NORWOOD
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State | MA
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Zip | 02062-5001
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Country | US
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Telephone | 774-381-9648
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Fax |
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Provider Business Mailing Address
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Address Line | 200 JACKMAN DR
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City | BUDA
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State | TX
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Zip | 78610-4573
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Country | US
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Telephone | 603-748-6536
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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