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General NPI Number Information
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NPI Number | 1487238549
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Entity Type | Organization
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Legal Business Name | K&I HEALTHCARE SERVICES
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 4301 GARDEN CITY DR STE 303
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City | LANDOVER
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State | MD
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Zip | 20785-6105
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Country | US
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Telephone | 240-667-1679
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Fax | 240-667-1712
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Provider Business Mailing Address
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Address Line | 4301 GARDEN CITY DR STE 303
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City | LANDOVER
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State | MD
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Zip | 20785-6105
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Country | US
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Telephone | 240-667-1679
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Fax | 240-667-1712
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Authorized Official
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Title or Position | CEO
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Name | IKECHUKWU OBIORA
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Credential |
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Telephone | 517-214-3258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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