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General NPI Number Information
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NPI Number | 1104915719
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Entity Type | Individual
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Provider Name | CHERYL ELLEN KALB D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 3333 N CALVERT ST 555
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City | BALTIMORE
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State | MD
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Zip | 21218-2867
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Country | US
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Telephone | 410-261-8531
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Fax | 410-261-8464
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Provider Business Mailing Address
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Address Line | 12 RAIN DROP CIR
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City | REISTERSTOWN
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State | MD
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Zip | 21136-3541
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Country | US
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Telephone | 410-833-8560
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S1595PT
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License Number State | MD
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