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General NPI Number Information
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NPI Number | 1760130215
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Entity Type | Organization
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Legal Business Name | KELAND HEALTH
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 100 SOUTH TAYLOR AVE
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City | ESSEX
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State | MD
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Zip | 21221
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Country | US
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Telephone | 410-941-9844
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Fax |
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Provider Business Mailing Address
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Address Line | 8913 WHITECLIFF LN
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City | BALTIMORE
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State | MD
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Zip | 21234-3321
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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 | OWNER
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Name | ANDREW WRIGHT
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Credential |
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Telephone | 410-941-9844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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