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General NPI Number Information
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NPI Number | 1366621641
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Entity Type | Organization
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Legal Business Name | KENNETH A PIERING DC PC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 12401 MIDDLEBROOK RD #190
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City | GERMANTOWN
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State | MD
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Zip | 20874-1525
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Country | US
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Telephone | 301-353-9676
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Fax |
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Provider Business Mailing Address
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Address Line | 12401 MIDDLEBROOK RD #190
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City | GERMANTOWN
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State | MD
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Zip | 20874-1525
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Country | US
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Telephone | 301-353-9676
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. KENNETH A PIERING
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Credential | D.C.
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Telephone | 301-353-9676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1409PT
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License Number State | MD
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