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General NPI Number Information
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NPI Number | 1992694467
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Entity Type | Organization
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Legal Business Name | KAHAK MD, INC.
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 4604 BRAD CT
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City | ROCKVILLE
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State | MD
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Zip | 20853-2145
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Country | US
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Telephone | 301-641-1514
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Fax | 301-641-1514
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Provider Business Mailing Address
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Address Line | 4604 BRAD CT
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City | ROCKVILLE
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State | MD
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Zip | 20853-2145
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Country | US
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Telephone | 301-641-1514
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Fax | 301-641-1514
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Authorized Official
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Title or Position | CEO
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Name | MICHEL KAHAK
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Credential |
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Telephone | 202-722-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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