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General NPI Number Information
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NPI Number | 1659844579
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Entity Type | Individual
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Provider Name | ELIZABETH KERR RD
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 6301 IVY LN STE 410
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City | GREENBELT
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State | MD
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Zip | 20770-6357
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Country | US
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Telephone | 301-474-2499
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Fax | 301-474-5943
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Provider Business Mailing Address
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Address Line | 354 MOUNTAIN RD
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City | PASADENA
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State | MD
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Zip | 21122-1158
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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 |
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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 | 133VN1301X
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Taxonomy Name | Oncology Nutrition Registered Dietitian
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License Number | DX4532
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | DX4532
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | DX4532
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86091690
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 32312224
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | DX4532
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License Number State | MD
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