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General NPI Number Information
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NPI Number | 1215194840
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Entity Type | Organization
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Legal Business Name | BRIAN S KAHAN DO PA
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 170 JENNIFER RD STE 240
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7995
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Country | US
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Telephone | 410-571-9000
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Fax | 410-266-1507
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Provider Business Mailing Address
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Address Line | 170 JENNIFER RD STE 240
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7995
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Country | US
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Telephone | 410-571-9000
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Fax | 410-266-1507
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. CAROLYN DIANE BILLINGS
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Credential |
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Telephone | 443-837-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | D0063544
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | D0056713
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | H0053803
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License Number State | MD
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