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General NPI Number Information
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NPI Number | 1952171084
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Entity Type | Organization
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Legal Business Name | KAVN HEALTH
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 5850 WATERLOO RD
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City | COLUMBIA
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State | MD
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Zip | 21045-1941
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Country | US
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Telephone | 443-953-8767
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Fax | 410-480-7081
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Provider Business Mailing Address
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Address Line | 5850 WATERLOO RD
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City | COLUMBIA
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State | MD
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Zip | 21045-1941
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Country | US
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Telephone | 443-953-8767
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Fax | 410-480-7081
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. VERONICA KWEGYIR-AFFUL
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Credential | DNP
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Telephone | 443-636-0983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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