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General NPI Number Information
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NPI Number | 1265053813
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Entity Type | Organization
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Legal Business Name | KLEINS FESTIVAL AT BEL AIR INC
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 5 BEL AIR SOUTH PKWY STE 301
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City | BEL AIR
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State | MD
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Zip | 21015-6087
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Country | US
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Telephone | 443-512-8373
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BEL AIR SOUTH PKWY STE 301
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City | BEL AIR
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State | MD
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Zip | 21015-6087
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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 | PHARMACY DIRECTOR
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Name | FRANK ROBERT HENDERSON
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Credential |
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Telephone | 410-420-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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