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General NPI Number Information
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NPI Number | 1861052631
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Entity Type | Individual
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Provider Name | RAINA KALLARACKAL MORLEY O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 7256 GUILFORD DRIVE
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City | FREDERICK
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State | MD
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Zip | 21704
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Country | US
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Telephone | 301-835-6120
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Fax |
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Provider Business Mailing Address
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Address Line | 2557 HOPTON LN
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City | FREDERICK
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State | MD
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Zip | 21701-1322
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2681
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License Number State | MD
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