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General NPI Number Information
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NPI Number | 1861649394
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Entity Type | Individual
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Provider Name | KATARZYNA KINES C.N.S., L.D.N., M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 2360 W JOPPA RD SUITE # 200
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City | LUTHERVILLE
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State | MD
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Zip | 21093-4624
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Country | US
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Telephone | 443-926-6841
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Fax | 410-321-1084
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Provider Business Mailing Address
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Address Line | 5607 MATTFELDT AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-3712
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Country | US
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Telephone | 443-926-6841
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Fax | 410-321-1084
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DX2610
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License Number State | MD
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