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General NPI Number Information
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NPI Number | 1144341702
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Entity Type | Organization
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Legal Business Name | KAY B O'HARA PA EASTERN CHIROPRACTIC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 616 EASTERN BLVD
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City | BALTIMORE
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State | MD
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Zip | 21221-4907
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Country | US
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Telephone | 410-686-1117
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Fax | 410-686-1751
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Provider Business Mailing Address
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Address Line | 616 EASTERN BLVD
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City | BALTIMORE
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State | MD
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Zip | 21221
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Country | US
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Telephone | 410-686-1117
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Fax | 410-686-1751
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAY OHARA
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Credential | D.C.
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Telephone | 410-686-1117
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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 | S01499
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License Number State | MD
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