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General NPI Number Information
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NPI Number | 1578182408
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Entity Type | Organization
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Legal Business Name | SPIRIT FIT AND HEALTH, LLC
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 10417 METROPOLITAN AVE STE B
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City | KENSINGTON
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State | MD
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Zip | 20895-2649
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Country | US
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Telephone | 301-933-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 10417 METROPOLITAN AVE STE B
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City | KENSINGTON
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State | MD
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Zip | 20895-2649
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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 | FOUNDING DIRECTOR
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Name | MR. JARED CINER
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Credential |
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Telephone | 301-933-3722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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