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General NPI Number Information
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NPI Number | 1740210814
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Entity Type | Individual
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Provider Name | BRIAN SCOT KAHAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 170 JENNIFER RD STE 240
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7995
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Country | US
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Telephone | 410-571-9000
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Fax | 410-266-1507
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Provider Business Mailing Address
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Address Line | 170 JENNIFER RD STE 240
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7995
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Country | US
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Telephone | 410-571-9000
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Fax | 410-266-1507
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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 | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | H00538003
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | H53803
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | H53803
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License Number State | MD
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