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General NPI Number Information
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NPI Number | 1992617591
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Entity Type | Organization
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Legal Business Name | KIDSDOCTELEHEALTH CORP
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 17001 BENNETT WAY
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City | POOLESVILLE
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State | MD
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Zip | 20837-2259
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Country | US
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Telephone | 240-370-4707
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Fax |
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Provider Business Mailing Address
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Address Line | 17001 BENNETT WAY
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City | POOLESVILLE
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State | MD
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Zip | 20837-2259
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Country | US
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Telephone | 240-370-4707
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIA HUSSAIN
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Credential | MD
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Telephone | 240-370-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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