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General NPI Number Information
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NPI Number | 1508673609
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Entity Type | Individual
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Provider Name | ELIZA MARY KAIN
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Gender | Female
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 100 W COMMONS BLVD STE 301
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City | NEW CASTLE
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State | DE
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Zip | 19720-2419
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Country | US
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Telephone | 302-428-0205
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Fax |
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Provider Business Mailing Address
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Address Line | 799 MONTCLAIR DR APT 2
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City | CLAYMONT
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State | DE
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Zip | 19703-3678
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Country | US
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Telephone | 586-850-1964
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | Q3-0011469
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License Number State | DE
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