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General NPI Number Information
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NPI Number | 1972854826
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Entity Type | Organization
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Legal Business Name | KADIE PRO HEALTH
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 7701 AREHART DR SUITE 1305
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-4163
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Country | US
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Telephone | 240-938-4043
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Fax |
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Provider Business Mailing Address
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Address Line | 7701 AREHART DR SUITE 1305
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-4163
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Country | US
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Telephone | 240-938-4043
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS KADIATU HAWA KANNEH
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Credential | RN
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Telephone | 240-938-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 251B00000X
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 251E00000X
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 251J00000X
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 253Z00000X
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License Number State |
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