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General NPI Number Information
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NPI Number | 1972939429
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Entity Type | Individual
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Provider Name | SYED N KAMRAN MA. MS. MS
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Gender | Male
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 1501 S.CLINTON ST. MAILSTOP CT 05-13
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City | BALTIMORE
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State | MD
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Zip | 21224
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Country | US
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Telephone | 410-953-1830
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SAINT THOMAS LN
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3803
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Country | US
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Telephone | 240-672-1464
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5849
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC 5438
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License Number State | MD
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