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General NPI Number Information
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NPI Number | 1023140050
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Entity Type | Organization
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Legal Business Name | KINDRED COLLABORATIVE RESOURCES INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 13226 VERDI CT
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City | SILVER SPRING
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State | MD
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Zip | 20904-6890
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Country | US
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Telephone | 301-523-9702
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Fax |
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Provider Business Mailing Address
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Address Line | 13226 VERDI CT
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City | SILVER SPRING
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State | MD
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Zip | 20904-6890
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Country | US
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Telephone | 301-523-9702
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | ANNA M LIMA
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Credential | MA SLP
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Telephone | 301-523-9702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 05195
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 05195
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License Number State | MD
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