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General NPI Number Information
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NPI Number | 1841337805
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Entity Type | Organization
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Legal Business Name | JAMES LAWRENCE KERNAN HOSPITAL, INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2200 KERNAN DR EXECUTIVE OFFICE, SUITE 1183
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City | BALTIMORE
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State | MD
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Zip | 21207-6665
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Country | US
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Telephone | 410-448-6701
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Fax | 410-448-2859
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Provider Business Mailing Address
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Address Line | 11311 MCCORMICK RD SUITE 230
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City | HUNT VALLEY
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State | MD
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Zip | 21031-1004
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Country | US
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Telephone | 410-821-4140
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Fax | 410-821-4189
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Authorized Official
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Title or Position | CFO
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Name | MARINA BOGIN
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Credential |
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Telephone | 410-448-6289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 30038
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License Number State | MD
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