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General NPI Number Information
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NPI Number | 1053129106
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Entity Type | Organization
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Legal Business Name | KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 9810 PATUXENT WOODS DR
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City | COLUMBIA
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State | MD
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Zip | 21046-1595
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Country | US
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Telephone | 443-923-3895
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Fax | 443-923-4390
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Provider Business Mailing Address
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Address Line | PO BOX 45944
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City | BALTIMORE
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State | MD
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Zip | 21297-5944
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT FINANCE
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Name | LISA BADIE
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Credential |
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Telephone | 443-923-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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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 | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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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 | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 283XC2000X
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Taxonomy Name | Children's Rehabilitation Hospital
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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